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GRACE LO
NPI 1245968452
Physician Assistant - Medical in Pomona, CA

Active since August 15, 2022PECOS Enrolled
309 E 2ND ST, POMONA, CA 91766(909) 623-6116 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Lo NPPES

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

GRACE LO (NPI 1245968452) is an individual medical provider in Pomona, California and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245968452
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRACE LO
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address309 E 2nd StPomona, CA 91766-1854
Phone(909) 623-6116
Sole ProprietorNo
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1245968452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
309 E 2ND ST, Pomona, CA 91766
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Lo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY IRENE NIELSEN-BROWN PA-C
Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5386
BRITTNEY TUNON
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (703) 955-6286
MR. EVAN HERSHMAN
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
CHAU MINH NGUYEN PA-C
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (951) 892-4858
AMI PATEL
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
MR. FOUAD HAJJAR
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
THAO BICH VU
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
JULIA B DIAMANT
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589

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 Grace Lo's NPI number?

The NPI number for Grace Lo is 1245968452. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Grace Lo located?

Grace Lo practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 623-6116.

What is Grace Lo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Grace Lo enrolled in Medicare?

Yes. Grace Lo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Lo was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.