Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891269502 Individual Practitioner Female Practitioner

Tammy Eileen Lo , MMS, PA-C

Physician Assistant • Fullerton, CA

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Tammy Lo, MMS, PA-C is a registered Physician Assistant practitioner in Fullerton, CA. With approximately 8 years of clinical practice since completing medical education in 2018, Tammy Lo provides healthcare services at the registered practice location at 2141 N HARBOR BLVD STE 25000.

Tammy Lo is affiliated with Providence Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2141 N Harbor Blvd Ste 25000

Fullerton, CA 928353830

Telephone 7146268650
Fax 7146268654

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fullerton, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
139 Specialists

Practicing in Fullerton, CA (14617 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lo (8 Years) 8 Yrs
Fullerton Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
366 258 $381.00 $117.63
99213 Established patient office or other outpatient visit, typically 15 minutes
115 97 $271.00 $83.78
93000 Routine ekg using at least 12 leads including interpretation and report
58 55 $51.38 $13.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
31 31 $388.00 $119.35
99443 Telephone medical discussion with physician, 21-30 minutes
25 22 $381.00 $117.82
99442 Telephone medical discussion with physician, 11-20 minutes
16 16 $271.00 $83.31

Medical Specialties & State Licenses

CMS Verified: 2021-11-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56421

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Providence Medical Foundation

100 E Valencia Mesa Dr, Fullerton, CA 928353816

Phone: 7148713006

Providence Medical Foundation

1950 Sunny Crest Dr, Fullerton, CA 928353641

Phone: 7149925350

Providence Medical Foundation

2501 E Chapman Ave, Orange, CA 928693204

Phone: 7146337175

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Kenneth Paolo Lising , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1003465105

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Helen Kwak , FNP-BC

Nurse Practitioner - Family

NPI 1235767112

Family Nurse Practitioner (Board Certified)

Dr. David Ruckman , MD

Internal Medicine

NPI 1285620658

Doctor of Medicine (M.D.)

Julie Beck

Nurse Practitioner - Family

NPI 1346407293
Trang Vu , NP

Nurse Practitioner

NPI 1356013924

Nurse Practitioner

Hyacinth Lyre Cabrera

Registered Nurse - Ambulatory Care

NPI 1427949437

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2019

Registered at 2141 N HARBOR BLVD STE 25000, FULLERTON, CA 928353830 (Tel: 7146268650)

📍
Updated Business Mailing Address January 15, 2019

Registered at 2141 N HARBOR BLVD STE 25000, FULLERTON, CA 928353830

👤
Provider Name / Credentials Updated January 15, 2019

Recorded as TAMMY LO, MMS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2019

Physician Assistant (License #56421 in CA)

🟢
Initial NPI Registration & Enumeration January 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891269502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2019
Last Update: November 05, 2021
Sole Proprietor: No

Mailing Address

2141 N Harbor Blvd Ste 25000

Fullerton, CA 928353830

Phone: 7146268650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.