Individual provider Active NPI

Rodrigo Fernando Lopez, CRNA

  • Certified Registered Nurse Anesthetist
  • Twentynine Palms, CA
National Provider Identifier
1114124682
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA3770 Issued in CA
Practice address
1145 Sturgis Road
Naval Hospital Twentynine Palms
Twentynine Palms, CA 92278
Phone
(760) 830-2290
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA3770 CA Primary

Addresses

Primary practice location

1145 Sturgis Road
Naval Hospital Twentynine Palms
Twentynine Palms, CA 92278

Mailing address

10024 Merry Brook TRL
Santee, CA 92071-7211
Phone (619) 596-2897

Other practice location 1

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000221 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587835392 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 324-4647

Hospital & facility affiliations

  • John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3770CAMDCounseling Psychologist
NA3770CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Rentz DO PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Aria Anesthesia Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2021 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 23, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 23, 2022 Accepting new patients

Locations

18400 US Highway 18
Ste B
Apple Valley, CA 92307
Phone (760) 515-6260

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411

72650 Fred Waring Dr
Ste 103
Palm Desert, CA 92260
Phone (760) 810-7587

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1114124682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 MERRY BROOK TRL",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920717211",
            "telephone_number": "619-596-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "address_2": "NAVAL HOSPITAL TWENTYNINE PALMS",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RODRIGO",
        "middle_name": "FERNANDO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA3770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.