Carlos A Lopez, M.D.,M.P.H.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56141 Issued in CA

Practice address

72780 Country Club Dr
Suite 100
Rancho Mirage, CA 92270-4126

Phone

(760) 773-9750

Fax

(760) 773-9294

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Specialists IncGroup PAC ID 8123100674, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridge Home Health Inland Empire Home health agency, Palm Desert, CA, CCN 059025
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBGFAA/Endpoint/GBGFAA

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

• Internal Medicine Specialists Inc

  • Internal Medicine Physician
  • Rancho Mirage, CA
  • NPI 1780863001
  Medicare reassignment Care Compare group NPD Authorized official
• Coachellamed a Professional Corporation

  dba Coachellamed

  • Exclusive Provider Organization
  • Rancho Mirage, CA
  • NPI 1932861176

  Internal Medicine

  NPD Authorized official
• Carlos a. Lopez a Professional Corporation

  dba Internal Medicine Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Mirage, CA
  • NPI 1992818934
  NPD (past) Authorized official
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation
• Sanrose Home Health Services,Inc.

  dba Bridge Home Health Inland Empire

  • Home Health Agency
  • Palm Desert, CA
  • NPI 1780888206
  Care Compare affiliation

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1003892894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-773-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-773-9750",
            "fax_number": "760-773-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110199749",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A561410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Hardy Longfellow, M.D.
• William Steven Longfellow, M.D.
• Giovanni Antonio Longo
• Longs Drug Stores California LLC (CVS Pharmacy #09153)
• Lopez Anesthesia Services a Medical Corporation
• Carolyn Maria Lopez, PHD
• Jamie Lynn Lopez, BEHAVIOR THERAPIST
• Lilia Elizabeth Lopez, FNP-BC
• Nathan Lopez, PTA
• Nellie Lopez

• Internal Medicine Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.

Verify at the official NPI Registry.