Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tammy Eileen Lo, MMS, PA-C

Individual provider Physician Assistant · NPI 1891269502

Tammy Eileen Lo, MMS, PA-C is a Physician Assistant in Fullerton, California. Qualified in 2018, 8 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830
Phone: (714) 626-8650
Fax: (714) 626-8654
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56421 (CA)

Record details

NPI number1891269502
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fullerton