JENNIFER LO M.D.
NPI 1407114010
Pediatrics in Loma Linda, CA
About Jennifer Lo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LO M.D. (NPI 1407114010) is an individual pediatrics provider in Loma Linda, California, licensed in California (A120780) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Lo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Lo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
San Bernardino, CA 92408
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 336 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Jennifer Lo's NPI number?
The NPI number for Jennifer Lo is 1407114010. It was assigned to this individual provider in the NPPES registry on May 2, 2012.
Where is Jennifer Lo located?
Jennifer Lo practices at 11234 Anderson St Room 4434, Loma Linda, CA 92354. The listed phone number is (909) 558-8083.
What is Jennifer Lo's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jennifer Lo enrolled in Medicare?
Yes. Jennifer Lo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jennifer Lo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Lo reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Sac Health System (San Bernardino, CA) and County Of Riverside (Riverside, CA). Each 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 Jennifer Lo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Lo was last updated on September 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jennifer Lo, M.D. · NPI 1407114010
Pediatrics physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since May 2, 2012.
## Identity
- **NPI:** 1407114010 (Entity type: Individual)
- **Enumerated:** May 2, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A120780 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11234 ANDERSON ST, ROOM 4434, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-8083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA); Sac Health System (NPI 1013935915, San Bernardino, CA); County Of Riverside (NPI 1588070833, Riverside, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1407114010) · Data from the CMS NPPES public registry.