Active NPI
Monica Patricia Gomez Lopez
- Emergency Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23787
- Practice address
- 657 N Town Center Dr
Las Vegas, NV 89144-6367 - Phone
- (702) 233-7481
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 23787 | NV | Primary |
Addresses
Primary practice location
657 N Town Center Dr
Las Vegas, NV 89144-6367
Mailing address
1830 N Laurel Ave
Phoenix, AZ 85007-1629
Phone (480) 356-7139
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23787 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Apache Junction, AZ
- NPI 1932543428
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1033747555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 N LAUREL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071629",
"telephone_number": "480-356-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 N TOWN CENTER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446367",
"telephone_number": "702-233-7481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ LOPEZ",
"first_name": "MONICA",
"middle_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "23787",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"address_1": "657 N Town Center Dr",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891446367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.