Active NPI
Charles Ernest Lopez, MD
- Anesthesiology Physician
- Castro Valley, CA
National Provider Identifier
1184673170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G71995
- Practice address
- 20998 Redwood Rd
Castro Valley, CA 94546-5918 - Phone
- (510) 538-2828
- Fax
- (510) 538-2508
- NPI assigned
- May 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G71995 | CA | Primary |
Addresses
Primary practice location
20998 Redwood Rd
Castro Valley, CA 94546-5918
Mailing address
PO Box 39000
Dept # 34237
San Francisco, CA 94139-0001
Phone (925) 951-1366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G719950 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71995 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1184673170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39000",
"address_2": "DEPT # 34237",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941390001",
"telephone_number": "925-951-1366",
"fax_number": "925-951-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20998 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465918",
"telephone_number": "510-538-2828",
"fax_number": "510-538-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CHARLES",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G71995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G719950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.