Individual provider Active NPI

Vinicius Klee Lopes, M.D.

  • Infectious Disease Physician
  • Newport Beach, CA
National Provider Identifier
1033420476
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
64270-20 Issued in WI
Practice address
320 Superior Ave Ste 370
Newport Beach, CA 92663-2795
Phone
(949) 515-3590
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 64270-20 WI Primary

Addresses

Primary practice location

320 Superior Ave Ste 370
Newport Beach, CA 92663-2795

Mailing address

5207 San Joaquin PLZ # 5207
Newport Beach, CA 92660-5980
Phone (312) 623-5834

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421000488 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3476868662 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Id Associates IncGroup PAC ID 1153578679, 5 clinicians

Practice addresses (Care Compare)

320 Superior Ave
Suite 370
Newport Beach, CA 92663-2795
Phone (949) 515-3590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.43 of 100Reported as group
Quality
31.8
Improvement activities
0
Cost
81.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64270-20WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Apr 14, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Apr 14, 2021 Accepting new patients
County of Santa Clara CurrentSince Apr 14, 2021 Accepting new patients
Southern California Id Associates, Inc. Infectious Disease CurrentSince Feb 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Apr 14, 2021 Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

320 Superior Ave
Ste 370
Newport Beach, CA 92663
Phone (949) 515-3590

320 Superior Ave
Newport Beach, CA 92663
Phone (949) 645-7870

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1033420476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 SAN JOAQUIN PLZ # 5207",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605980",
            "telephone_number": "312-623-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 370",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632795",
            "telephone_number": "949-515-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEE LOPES",
        "first_name": "VINICIUS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "64270-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.