Active NPI
Melissa Lopez-Bermejo, MD
- Internal Medicine Physician
- Watsonville, CA
National Provider Identifier
1184724627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A54168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Lopez-Bermejo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.