NPIMap

Individual provider Active NPI

Marvin Yukming Lo, MD

  • Orthopaedic Surgery Physician
  • San Mateo, CA
National Provider Identifier
1982864393
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A87179 Issued in CA
Practice address
359 N San Mateo Dr Ste 1
San Mateo, CA 94401-2584
Phone
(650) 685-7100
Fax
(650) 685-7109
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A87179 CA Primary

Addresses

Primary practice location

359 N San Mateo Dr Ste 1
San Mateo, CA 94401-2584

Mailing address

1750 El Camino Real Ste 18
Burlingame, CA 94010-3208
Phone (650) 685-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090609000183 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4082764311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of California, San Francisco School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

359 N San Mateo Dr
Suite 1
San Mateo, CA 94401-2584
Phone (650) 685-7100

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as individual
Quality
81.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)26
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87179CAMDPharmacist
A87179CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Medicine Institute Plus Spine Inc CurrentSince Sep 1, 2020 Accepting new patients
Seton Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Pacific Heights Surgery Center of San Francisco LP PastSince Mar 1, 2020 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
The Orthopaedic Group of SF Inc a Medical Group Orthopaedic Surgery Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

359 N San Mateo Dr
Ste 1
San Mateo, CA 94401
Phone (650) 685-7100

Interoperability endpoints

  • Direct secure messaging: mlo46000@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1982864393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 18",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103208",
            "telephone_number": "650-685-7100",
            "fax_number": "650-685-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR STE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012584",
            "telephone_number": "650-685-7100",
            "fax_number": "650-685-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "MARVIN",
        "middle_name": "YUKMING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A87179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.