Individual provider Active NPI

Eric Yen-Ming Loo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan Capistrano, CA
National Provider Identifier
1972740744
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A105865 Issued in CA
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

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
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

LicenseStateTypeSpecialty
A105865CAMDHematology (Pathology) Physician
RS2014-0413NMMDMolecular 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

Verify at the official NPI Registry.