VICKY LOLO A PROFESSIONAL NURSING CORPORATION
NPI 1144094582
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA

Active since November 07, 2023
2323 BROADWAY, OAKLAND, CA 94612(415) 449-5097 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vicky Lolo A Professional Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKY LOLO A PROFESSIONAL NURSING CORPORATION (NPI 1144094582) is a healthcare organization registered as a psychiatric/mental health in Oakland, California and active in the NPI registry since November 2023. The organization lists Victoria Omeri, President, as its authorized official.

NPPES Registry Identity

NPI1144094582
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVICKY LOLO A PROFESSIONAL NURSING CORPORATION
Location Address2323 BROADWAYOakland, CA 94612-2414
Mailing Address2323 BroadwayOakland, CA 94612-2414 · (415) 449-5097
Organization SubpartNo
Authorized OfficialVictoria OmeriPresident · (415) 449-5097
Enumeration DateNovember 7, 2023
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1144094582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2323 BROADWAY, Oakland, CA 94612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vicky Lolo A Professional Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vicky Lolo A Professional Nursing Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609437235
9201 E MOUNTAIN VIEW RD STE 220
Scottsdale, AZ 85258
(480) 862-1720
✔ PECOS653 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicky Lolo A Professional Nursing Corporation's NPI number?

The NPI number for Vicky Lolo A Professional Nursing Corporation is 1144094582. It was assigned to this organization in the NPPES registry on November 7, 2023.

Where is Vicky Lolo A Professional Nursing Corporation located?

Vicky Lolo A Professional Nursing Corporation is located at 2323 Broadway, Oakland, CA 94612. The listed phone number is (415) 449-5097.

What is Vicky Lolo A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Vicky Lolo A Professional Nursing Corporation enrolled in Medicare?

Yes. Vicky Lolo A Professional Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vicky Lolo A Professional Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vicky Lolo A Professional Nursing Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vicky Lolo A Professional Nursing Corporation was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.