Individual provider Active NPI

Orlando Lopez, PA-C

  • Physician Assistant
  • Live Oak, TX
National Provider Identifier
1184773012
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7010 Hayes Horizon
Live Oak, TX 78233-3027
Phone
(262) 909-2883
NPI assigned
Jan 9, 2007
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

7010 Hayes Horizon
Live Oak, TX 78233-3027

Mailing address

7010 Hayes Horizon
Live Oak, TX 78233-3027
Phone (262) 909-2883

Other practice location 1

10223 US Highway 281 N Ste 201
San Antonio, TX 78216-4664
Phone (210) 338-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221001926 TX Practitioner - Physician Assistant 7911379987

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10223 US Hwy 281 N
Suite 201
San Antonio, TX 78216-4664

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TPC Family Medicine & Home Visits, PLLC PastSince Apr 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: orlando.lopez.1@25919.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1184773012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 HAYES HORIZON",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333027",
            "telephone_number": "262-909-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 HAYES HORIZON",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333027",
            "telephone_number": "262-909-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10223 US Highway 281 N Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782164664",
            "country_code": "US",
            "telephone_number": "210-338-8800",
            "fax_number": "210-338-8825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ORLANDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.