Manuel S Lopez-Cardenas, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00632 Issued in TX

Practice address

1 Sugar Creek Blvd
Ste 618
Sugar Land, TX 77478

Phone

(832) 655-4141

Fax

(713) 457-5188

NPI assigned

Oct 16, 2013

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 identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Basilisa Surgical Assistant, LLC

  • Surgical Assistant
  • Spring, TX
  • NPI 1528453768
  NPD (past) Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1174951859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RAYFORD RD STE 238",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861980",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK BLVD",
            "address_2": "STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-CARDENAS",
        "first_name": "MANUEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US MSO",
            "identifier": "8SY137",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE STAR SURGICAL ASSISTANTS",
            "identifier": "8SY056",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XCITE SURGICAL",
            "identifier": "8SY029",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL SURGICAL ASSISTANTS",
            "identifier": "8SK413",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lonestar Primary Clinic PLLC
• Lonestar Research Partners LLC
• Dorota M Loney, NP-C
• Alfonso Javier Longoria, CNIM
• Eleanor Marie Loosbrock, NNP
• Ashley Aileen Lopez, M.S. M.S. CC-SLP
• Jonathan Lopez, PA
• Jose Lopez, PA-C
• Laura Gabriela Lopez, LVN
• Lizzette Aracely Lopez

• Surgical Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.