Active NPI
Jacob Lopez, DPT
- Physical Therapist
- Cypress, CA
National Provider Identifier
1104670710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305396
- Practice address
- 9827 Walker St
Cypress, CA 90630-3826 - Phone
- (714) 220-9001
- NPI assigned
- Apr 11, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305396 | CA | Primary |
Addresses
Primary practice location
9827 Walker St
Cypress, CA 90630-3826
Mailing address
5530 Ackerfield Ave Unit 105
Long Beach, CA 90805-4905
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": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1104670710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 ACKERFIELD AVE UNIT 105",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908054905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9827 WALKER ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303826",
"telephone_number": "714-220-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JACOB",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.