Niceto Lopez, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A96421 Issued in CA

Practice address

801 Ygnacio Valley Rd
Suite 250
Walnut Creek, CA 94596-3871

Phone

(925) 946-1080

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20108/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: nlopez486875@oc.providencedirect.org

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A-1 Hospice Care Center 4 U, Inc.

  • Community Based Hospice Care Agency
  • Encino, CA
  • NPI 1952717480

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership
• Altair Hospice Care Inc

  • Community Based Hospice Care Agency
  • Newport Beach, CA
  • NPI 1235676552

  Contracted Managing Employee

  CMS ownership
• PC Care, LLC

  • Skilled Nursing Facility
  • Santa Monica, CA
  • NPI 1609972520

  Adp of the SNF

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Niceto Lopez, M.D., a.P.C.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1710518881
  Medicare reassignment NPD Authorized official
• John Muir Physician Network

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1841407665
  Medicare reassignment NPD
• John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1093864837
  Medicare reassignment NPD
• Palliative Care Doctors Group, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1578826053
  Medicare reassignment NPD
• Providence Saint Johns Medical Foundation

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734
  Medicare reassignment NPD
• Kansal Inc

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1043510183
  Medicare reassignment
• John Muir Trauma Physicians Billing Service

  • Trauma Surgery Physician
  • Walnut Creek, CA
  • NPI 1962551861
  NPD
• Providence Saint Johns Medical Foundation

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1518438712
  NPD
• Loyal Way Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1457959397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003012931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 LAKESHORE AVE APT 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101763",
            "telephone_number": "510-444-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 YGNACIO VALLEY RD",
            "address_2": "SUITE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963871",
            "telephone_number": "925-946-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NICETO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A96421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MECIAL LICENSE",
            "identifier": "A96421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Lopez
• Benjamin Samuel Lopez, PA
• Claudia Lopez
• Jeannie M Lopez, PHD
• Lauren Lopez
• Olivia Lopez
• Stefany Lopez
• Vanessa Lopez
• Vanessa Lee Lopez
• Veronica Faye Lopez, BEHAVIOR THERAPY

• Hospitalist Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.