Organization Active NPI

Luis R. Lopez M.D., LTD

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1023348604
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
12246 Issued in AZ
Legal business name
LUIS R. LOPEZ M.D., LTD
Practice address
3330 N 2ND St Ste 400
Phoenix, AZ 85012-2371
Phone
(602) 631-4090
Fax
(602) 631-4093
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Mr. Luis Raul Lopez Jr.NPI 1821148917
Title
Business Administrator
Phone
(602) 631-9873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 12246 AZ Primary

Addresses

Primary practice location

3330 N 2ND St Ste 400
Phoenix, AZ 85012-2371

Mailing address

521 W Thomas Rd FL 1
Phoenix, AZ 85013-4226
Phone (602) 631-4090

Other names 1

  • Thomas Medical Clinic Other name

National Provider Directory

National Provider Directory

Locations

521 W Thomas Rd
Fl 1
Phoenix, AZ 85013
Phone (602) 307-5775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1023348604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134226",
            "telephone_number": "602-631-4090",
            "fax_number": "602-631-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122371",
            "telephone_number": "602-631-4090",
            "fax_number": "602-631-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS R. LOPEZ M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "602-631-9873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "12246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.