Individual provider Active NPI

Hugo Ernesto Lopez Mendoza, MD

  • Family Medicine Physician
  • Orosi, CA
National Provider Identifier
1083241384
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A180545 Issued in CA
Practice address
41696 Road 128
Orosi, CA 93647-2059
Phone
(559) 528-6966
Fax
(559) 528-3665
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A180545 CA Primary

Addresses

Primary practice location

41696 Road 128
Orosi, CA 93647-2059

Mailing address

41696 Road 128
Orosi, CA 93647-2059
Phone (559) 528-6966

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
I20230717001787 CA Practitioner - Family Practice 1355701715 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180545CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Aug 1, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Aug 1, 2023 Accepting new patients

Locations

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

41696 Road 128
Orosi, CA 93647
Phone (559) 528-6966

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1083241384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41696 ROAD 128",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472059",
            "telephone_number": "559-528-6966",
            "fax_number": "559-528-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41696 ROAD 128",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472059",
            "telephone_number": "559-528-6966",
            "fax_number": "559-528-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MENDOZA",
        "first_name": "HUGO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A180545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orosi, CA

Sources for this page

Verify at the official NPI Registry.