Organization Active NPI

Melissa Lopez-Bermejo, MD

  • Internal Medicine Physician
  • Watsonville, CA
National Provider Identifier
1184724627
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54168 Issued in CA
Legal business name
MELISSA LOPEZ-BERMEJO, MD
Practice address
1041 Freedom Blvd
Watsonville, CA 95076-3263
Phone
(831) 761-6327
Fax
(831) 761-7769
NPI assigned
Sep 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melissa Lopez-Bermejo, MDNPI 1548360084
Title
Physician
Phone
(831) 761-6327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A54168 CA Primary

Addresses

Primary practice location

1041 Freedom Blvd
Watsonville, CA 95076-3263

Mailing address

1041 Freedom Blvd
Watsonville, CA 95076-3263
Phone (831) 761-6327

National Provider Directory

National Provider Directory

Locations

1041 Freedom Blvd
Watsonville, CA 95076
Phone (831) 761-6327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184724627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763263",
            "telephone_number": "831-761-6327",
            "fax_number": "831-761-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763263",
            "telephone_number": "831-761-6327",
            "fax_number": "831-761-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA LOPEZ-BERMEJO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-BERMEJO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "831-761-6327",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.