Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JUSTIN LIEH WAI LO M.D.
NPI 1407818370
Anesthesiology - Pain Medicine in San Jose, CA

Active since April 05, 2006PECOS EnrolledCLIA 05D2021069 · Waiver
0/100
CMS Quality Rating
2101 FOREST AVE, SAN JOSE, CA 95128(408) 295-8628 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Justin Lieh Wai Lo M.d. NPPES

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

DR. JUSTIN LIEH WAI LO M.D. (NPI 1407818370) is an individual pain medicine provider in San Jose, California, licensed in California (A77343) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 26, 2027, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1995).

NPPES Registry Identity

NPI1407818370
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. JUSTIN LIEH WAI LOCredential: M.D.
Location Address2101 FOREST AVESan Jose, CA 95128-1472
Mailing Address1020 Bromfield RdHillsborough, CA 94010-6622 · (650) 280-0816
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1995
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1407818370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · A77343
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A77343 (CA)
2101 FOREST AVE, San Jose, CA 95128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Lieh Wai Lo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739163486
PECOS Enrollment IDI20040617001690
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2021069

Justin Lo, MD Apc · San Jose, CA
Active · expires Apr 26, 2027
CLIA Number05D2021069
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorJustin Lo MD
Laboratory Phone(408) 295-8628
Laboratory LocationJustin Lo, MD Apc2101 Forest Ave Ste 220A, San Jose, CA 95128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
452 services193 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
99 services99 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
76 services59 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
28 services14 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services16 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
22 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

General Practice
2101 FOREST AVE, STE 116
SAN JOSE, CA 95128
Surgery
2101 FOREST AVE, SUITE 100
SAN JOSE, CA 95128
Pediatrics
2101 FOREST AVE, SUITE 128
SAN JOSE, CA 95128
Clinic/Center (Primary Care)
2101 FOREST AVE, SUITE # 104
SAN JOSE, CA 95128
Internal Medicine
2101 FOREST AVE, SUITE 220A
SAN JOSE, CA 95128
Acupuncturist
2101 FOREST AVE, STE 100
SAN JOSE, CA 95128
Chiropractor
2101 FOREST AVE, #123
SAN JOSE, CA 95128
Family Medicine
2101 FOREST AVE, SUITE 124
SAN JOSE, CA 95128

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 Justin Lo's NPI number?

The NPI number for Justin Lo is 1407818370. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Justin Lo located?

Justin Lo practices at 2101 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 295-8628.

What is Justin Lo's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Justin Lo enrolled in Medicare?

Yes. Justin Lo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Justin Lo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2021069) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Justin Lo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.