Individual provider Active NPI

Jorge Lopez, NMD

  • Naturopath
  • Tempe, AZ
National Provider Identifier
1114348653
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
13-1414 Issued in AZ
Practice address
2501 E Southern Ave Ste 3
Tempe, AZ 85282-7666
Phone
(602) 492-7127
Fax
(877) 749-8607
NPI assigned
Dec 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NP416 ME
Naturopath 175F00000X 13-1414 AZ Primary

Addresses

Primary practice location

2501 E Southern Ave Ste 3
Tempe, AZ 85282-7666

Mailing address

2501 E Southern Ave Ste 3
Tempe, AZ 85282-7666
Phone (602) 770-9416

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

LicenseStateTypeSpecialty
13-1414AZMDNaturopath
NP416MEMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Family Naturopathic Clinic PLLC Naturopath CurrentSince Feb 23, 2025 Accepting new patients

Locations

1530 W Glendale Ave
Ste 103
Phoenix, AZ 85021
Phone (602) 242-4100

2501 E Southern Ave
Ste 3
Tempe, AZ 85282
Phone (602) 492-7127

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1114348653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827666",
            "telephone_number": "602-770-9416",
            "fax_number": "877-749-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827666",
            "telephone_number": "602-492-7127",
            "fax_number": "877-749-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-31",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ME",
            "license": "NP416",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.