Active NPI
Mark Lopez
- Community Health Worker
- Albuquerque, NM
National Provider Identifier
1083590020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- G-1804
- Practice address
- 2500 Marble Ave N.E
Albuquerque, NM 87106 - Phone
- (505) 272-5849
- NPI assigned
- Aug 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | G-1804 | NM | Primary |
Addresses
Primary practice location
2500 Marble Ave N.E
Albuquerque, NM 87106
Mailing address
Health Sciences Center, Msc09 5300,
1 University of New Mexico, Albuquerque,
Albuquerque, NM 87131
Phone (505) 272-5849
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 |
|---|---|---|---|
| G-1804 | NM | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1083590020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HEALTH SCIENCES CENTER, MSC09 5300,",
"address_2": "1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE,",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87131",
"telephone_number": "505-272-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MARBLE AVE N.E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-272-5849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": "G-1804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.