Mario Azael Lopez Esqueda, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010431 Issued in CA

Practice address

195 W Legion Rd
Brawley, CA 92227-7714

Phone

(760) 351-8669

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Neuro Spine and Headache Pain Management Center

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Brawley, CA
  • NPI 1770808883
  Medicare reassignment NPD
• Anesthesia Medical Group of Imperial Valley, Inc.

  • Anesthesiology Physician
  • Brawley, CA
  • NPI 1487087136
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1154891430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277714",
            "telephone_number": "760-351-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ESQUEDA",
        "first_name": "MARIO",
        "middle_name": "AZAEL",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Lee
• Young Sik Lee, M.D.
• Brooke Caroline Leedy, PA-C
• Leon Parrilla D.D.S Incorporated
• Norma Lilia Loghmani
• Jose Alberto Lopez, PHARM D
• Oscar A Lopez, MD
• Joseph John Loyd, FNP-C
• LS RX LLC
• Donnell Jon Lazo Lu

• Family Nurse Practitioner in Brawley, CA
• Providers in Brawley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.