Active NPI
Diego Lopez, OTD, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1104442763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19582
- Practice address
- 1016 S Record Ave
Los Angeles, CA 90023-2533 - Phone
- (323) 268-0106
- NPI assigned
- Jun 19, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 19582 | CA | Primary |
Addresses
Primary practice location
1016 S Record Ave
Los Angeles, CA 90023-2533
Mailing address
691 E Howard St
Pasadena, CA 91104-2348
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1104442763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 E HOWARD ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S RECORD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232533",
"telephone_number": "323-268-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DIEGO",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.