Active NPI
Lissette G Lopez, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1003157041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 22854
- Practice address
- 9939 Magnolia Ave
Riverside, CA 92503-3528 - Phone
- (818) 282-5894
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22854 | CA | Primary |
Addresses
Primary practice location
9939 Magnolia Ave
Riverside, CA 92503-3528
Mailing address
9939 Magnolia Ave
Riverside, CA 92503
Phone (818) 282-5894
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781
8605 Camino Media
Suite 300
Bakersfield, CA 93311-1361
Phone (661) 322-2700
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.69 of 100
- Quality
- 91.59
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 76.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- llopez@lalasercenter.emadirect.md
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- San Clemente, CA
- NPI 1306982855
-
- Non-Pharmacy Dispensing Site
- Turlock, CA
- NPI 1356974059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1003157041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9939 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92503",
"telephone_number": "818-282-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033528",
"telephone_number": "818-282-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LISSETTE",
"middle_name": "G",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "22854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.