Jessica Mirella Lopez

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

15928 Ventura Blvd Ste 218
Encino, CA 91436-4413

Phone

(818) 518-9709

NPI assigned

Mar 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Williams Speech Therapy Services Inc.

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1740637834
  NPD
• Novum Therapy Partners, Inc.

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1194588111
  NPD (past)

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1053946731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD STE 218",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364413",
            "telephone_number": "818-518-9709",
            "fax_number": "747-230-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD STE 218",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364413",
            "telephone_number": "818-518-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESSICA",
        "middle_name": "MIRELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Arlene Lopez-Glass, PA-C
• Andres Lopez
• Carlos Lopez
• Edgar Lopez
• Jazmin Esmeralda Lopez
• Katherine Lopez
• Kitzel Yeimy Lopez
• Miriam Lopez, M.S., B.C.B.A.
• Nicolas Holden Azpeitia Lopez
• Noelani Lopez

• Occupational Therapy Assistant in Encino, CA
• Providers in Encino, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.