Individual provider Active NPI

Abrey Kala Lopez Daniel, DDS

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1144459140
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58397 Issued in CA
Practice address
7515 Van Nuys Blvd
Van Nuys
Van Nuys, CA 91405-1949
Phone
(818) 947-0230
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58397 CA Primary

Addresses

Primary practice location

7515 Van Nuys Blvd
Van Nuys
Van Nuys, CA 91405-1949

Mailing address

26835 Black Horse Cir
Corona
Corona, CA 92883-6335
Phone (951) 768-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000012 CA Practitioner - Oral Surgery 1658500061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58397CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jul 8, 2017 Accepting new patients
County of Los Angeles CurrentSince Jul 8, 2017 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

7515 Van Nuys Blvd
#5
Van Nuys, CA 91405

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

Organizations & group practices 2

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1144459140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26835 BLACK HORSE CIR",
            "address_2": "CORONA",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836335",
            "telephone_number": "951-768-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 VAN NUYS BLVD",
            "address_2": "VAN NUYS",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051949",
            "telephone_number": "818-947-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ABREY",
        "middle_name": "KALA LOPEZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.