Active NPI
Eric Yen-Ming Loo, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- San Juan Capistrano, CA
National Provider Identifier
1972740744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A105865
- Practice address
- 33608 Ortega Hwy BLDG a
San Juan Capistrano, CA 92675-2042 - Phone
- (949) 728-4155
- NPI assigned
- Jan 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 17115 | NH | |
| Hematology (Pathology) Physician | 207ZH0000X | A105865 | CA | |
| Hematology (Pathology) Physician | 207ZH0000X | 17115 | NH | |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | RS2014-0413 | NM | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 17115 | NH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A105865 | CA | Primary |
Addresses
Primary practice location
33608 Ortega Hwy BLDG a
San Juan Capistrano, CA 92675-2042
Mailing address
33608 Ortega Hwy BLDG a
San Juan Capistrano, CA 92675-2042
Phone (949) 728-4155
Other practice location 1
1 Medical Center Dr
DHMC - Pathology Department
Lebanon, NH 03756-1000
Phone (603) 650-8693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105865 | CA | MD | Hematology (Pathology) Physician |
| RS2014-0413 | NM | MD | Molecular Genetic Pathology (Pathology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1972740744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33608 ORTEGA HWY BLDG A",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752042",
"telephone_number": "949-728-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33608 ORTEGA HWY BLDG A",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752042",
"telephone_number": "949-728-4155"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_2": "DHMC - Pathology Department",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-8693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOO",
"first_name": "ERIC",
"middle_name": "YEN-MING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-14",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "NH",
"license": "17115",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "CA",
"license": "A105865",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NH",
"license": "17115",
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "NM",
"license": "RS2014-0413",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NH",
"license": "17115",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A105865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.