Active NPI
Marlene Suzanne Lopez, M.D
- Specialist
- Long Beach, CA
National Provider Identifier
1184819534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G71808
- Practice address
- 455 E Columbia St Ste 201
Long Beach, CA 90806-1620 - Phone
- (562) 933-0400
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G71808 | CA | Primary |
Addresses
Primary practice location
455 E Columbia St Ste 201
Long Beach, CA 90806-1620
Mailing address
455 E Columbia St Ste 201
Long Beach, CA 90806-1620
Phone (562) 933-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140627000329 | CA | Order and Referring Only - Internal Medicine | 7315162732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71808 | CA | MD | Clinical Social Worker |
| G71808 | CA | MD | Specialist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1184819534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E COLUMBIA ST STE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061620",
"telephone_number": "562-933-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E COLUMBIA ST STE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061620",
"telephone_number": "562-933-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARLENE",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G71808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.