Pamela Lopez, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86009581 Issued in CA

Practice address

312 N Azusa Ave
Azusa, CA 91702-3439

Phone

(626) 633-1500

Fax

(626) 633-1501

NPI assigned

Nov 5, 2013

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Azusa Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Azusa, CA
  • NPI 1578775045
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1093144529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 VINEYARD AVE APT 83",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303395",
            "telephone_number": "626-376-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023439",
            "telephone_number": "626-633-1500",
            "fax_number": "626-633-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900113629",
            "country_code": "US",
            "telephone_number": "310-497-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PAMELA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86009581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Samantha Lopez-Maldonado
• Diana Zayuri Lopez
• Emily Lopez
• Giselle Lopez
• Norma Kathryn Lopez
• Rose Lopez
• Tracy Jo Lopez
• Regina Love, RAC
• Sydnie Lovegreen
• Roxana Lozano Cervantes

• Registered Dietitian in Azusa, CA
• Providers in Azusa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.