Individual provider Active NPI

Oscar A Lopez, MD

  • Gastroenterology Physician
  • Brawley, CA
National Provider Identifier
1205034733
Registry record updated Mar 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A108837 Issued in CA
Practice address
751 W Legion Rd Ste 103
Brawley, CA 92227-7754
Phone
(760) 351-4400
Fax
(760) 351-4407
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A108837 CA Primary
Internal Medicine Physician 207R00000X A108837 CA

Addresses

Primary practice location

751 W Legion Rd Ste 103
Brawley, CA 92227-7754

Mailing address

PO Box 1846
El Centro, CA 92244-1846
Phone (760) 351-4400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204002145 CA Practitioner - Gastroenterology 2668608258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108837CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar a Lopez MD Gastroenterology CurrentSince Oct 25, 2014 Accepting new patients

Locations

751 W Legion Rd
Ste 103
Brawley, CA 92227
Phone (760) 344-8750

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459036800000",
    "number": "1205034733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922441846",
            "telephone_number": "760-351-4400",
            "fax_number": "760-351-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD STE 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277754",
            "telephone_number": "760-351-4400",
            "fax_number": "760-351-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "OSCAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A108837",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.