Active NPI
David Eric Lopez, MFT INTERN
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1164825824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 4910 E Ashlan Ave
Fresno, CA 93726-3020 - Phone
- (559) 630-1265
- NPI assigned
- Oct 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
4910 E Ashlan Ave
Fresno, CA 93726-3020
Mailing address
2881 Huntington Blvd Apt 119
Fresno, CA 93721-2310
Phone (559) 630-1265
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1164825824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2881 HUNTINGTON BLVD APT 119",
"city": "FRESNO",
"state": "CA",
"postal_code": "937212310",
"telephone_number": "559-630-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937263020",
"telephone_number": "559-630-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DAVID",
"middle_name": "ERIC",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-08",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.