Active NPI
Luis Lopez
- Clinical Social Worker
- Lancaster, CA
National Provider Identifier
1033848437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118464
- Practice address
- 45111 Fern Ave
Lancaster, CA 93534-2301 - Phone
- (661) 949-1206
- NPI assigned
- Jun 9, 2022
- Sex
- Male
- 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 | |||
| Clinical Social Worker | 1041C0700X | 118464 | CA | Primary |
Addresses
Primary practice location
45111 Fern Ave
Lancaster, CA 93534-2301
Mailing address
45111 Fern Ave
Lancaster, CA 93534-2301
Phone (661) 949-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118464 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1033848437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45111 FERN AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342301",
"telephone_number": "661-949-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45111 FERN AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342301",
"telephone_number": "661-949-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.