Active NPI
Victor Lopez
- Rehabilitation Practitioner
- Commerce, CA
National Provider Identifier
1043634967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 5628 E Slauson Ave
Commerce, CA 90040-2922 - Phone
- (323) 318-9960
- NPI assigned
- Feb 12, 2014
- Last updated
- Feb 12, 2014
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
5628 E Slauson Ave
Commerce, CA 90040-2922
Mailing address
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (323) 318-9960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #95-2633765 | Other | CA | MEDI-CAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penny Lane Centers | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- North Hollywood, CA
- NPI 1447597489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1043634967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402922",
"telephone_number": "323-318-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5628 E SLAUSON AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402922",
"telephone_number": "323-318-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "VICTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "#95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
- Maria Guadalupe Lopez
- Maria Jose Lopez, AA
- Melivea Lopez
- Pearl Lopez
- Rafael Lopez
- Regina Lora
- Araceli Lorenzana
- Los Angeles County Department of Mental Health (SA 7 Interim Housing Outreach Pgm)
- Los Angeles County Department of Mental Health (Dorothy Kirby Center)
- Los Angeles County Department of Mental Health (SA7 HOME West Team)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.