Active NPI
Wilfredo Alexander Lopez, MD
- Obstetrics Physician
- Casa Grande, AZ
National Provider Identifier
1013595891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 76223
- Practice address
- 1863 East Florence Blvd
Casa Grande, AZ 85122 - Phone
- (520) 836-3446
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 76223 | AZ | Primary |
Addresses
Primary practice location
1863 East Florence Blvd
Casa Grande, AZ 85122
Mailing address
PO Box 96395
Phoenix, AZ 85072-6395
Phone (520) 836-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76223 | AZ | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Life Family Health Center, Inc | Past | Accepting new patients | |
| Banner Health | Past | Accepting new patients | |
| Sun Life Family Health Center Inc | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- wlopez344558@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
-
- Federally Qualified Health Center (FQHC)
- Casa Grande, AZ
- NPI 1639831985
-
- Federally Qualified Health Center (FQHC)
- Casa Grande, AZ
- NPI 1417286568
-
- Community/Retail Pharmacy
- Casa Grande, AZ
- NPI 1275693947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1013595891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96395",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850726395",
"telephone_number": "520-836-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1863 EAST FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-836-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "WILFREDO",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "AZ",
"license": "76223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.