Juan Carlos Lopez Calderon, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5104 Issued in CA

Practice address

2080 Century Park E Ste 405
Los Angeles, CA 90067-2007

Phone

(310) 553-2695

NPI assigned

Mar 12, 2021

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

Other names 1

• Juan Carlos Lopez Calderon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1154906972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13648 GAGER ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313811",
            "telephone_number": "818-414-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672007",
            "telephone_number": "310-553-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Century Park E Ste 405",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672007",
            "country_code": "US",
            "telephone_number": "310-553-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ CALDERON",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "LOPEZ CALDERON",
            "middle_name": "CARLOS",
            "credential": "SLPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenda Eliza Lopez Alejo
• Stephanie Brenda Lopez Alvarado
• Jose De Jesus Lopez Andrade, PSY.D.
• Yuliana Lopez Bejarano
• Hiljim Lopez Bonilla
• Fatima Colombina Lopez Canales
• Iliana Marisol Lopez Castaneda
• Mayolo Lopez Chavez
• Rafael Eduardo Lopez Chicas
• Emilia Lopez Corona

• Speech-Language Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.