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MRS. RACHELLE MARIE LO M.D.
NPI 1457690950
Pediatrics in San Jose, CA

Active since February 05, 2013PECOS Enrolled
751 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5410 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Rachelle Marie Lo M.d. NPPES

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

MRS. RACHELLE MARIE LO M.D. (NPI 1457690950) is an individual pediatrics provider in San Jose, California, licensed in California (A124429) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457690950
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. RACHELLE MARIE LOCredential: M.D.
Location Address751 S BASCOM AVESan Jose, CA 95128-2604
Mailing Address751 S Bascom AveSan Jose, CA 95128-2604 · (408) 885-5410
Phone(408) 885-5410
Sole ProprietorNo
Enumeration DateFebruary 5, 2013
Last NPPES UpdateDecember 21, 2021
✔ NPI 1457690950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A124429
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
751 S BASCOM AVE, San Jose, CA 95128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rachelle Marie Lo M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Rachelle Lo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
3.5 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

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 Rachelle Lo's NPI number?

The NPI number for Rachelle Lo is 1457690950. It was assigned to this individual provider in the NPPES registry on February 5, 2013.

Where is Rachelle Lo located?

Rachelle Lo practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5410.

What is Rachelle Lo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rachelle Lo enrolled in Medicare?

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

Which organization bills Medicare for Rachelle Lo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Lo reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Rachelle 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 Rachelle Lo was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.