Active NPI
Adrianne Lopez
- Clinical Social Worker
- Covina, CA
National Provider Identifier
1205265402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124196
- Practice address
- 530 W Badillo St
Covina, CA 91722-3762 - Phone
- (626) 993-3000
- NPI assigned
- Nov 7, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90166 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Clinical Social Worker | 1041C0700X | 124196 | CA | Primary |
Addresses
Primary practice location
530 W Badillo St
Covina, CA 91722-3762
Mailing address
530 W Badillo St
Covina, CA 91722-3762
Phone (626) 993-3000
Other practice location 1
11429 Valley Blvd
El Monte, CA 91731
Phone (626) 993-3000
Other practice location 2
11429 Valley Blvd
El Monte, CA 91731
Phone (626) 993-3000
Other practice location 3
2450 S Atlantic Blvd Ste 101
Commerce, CA 90040-1200
Phone (323) 318-9960
Other practice location 4
1801 Huntington Dr
Duarte, CA 91010
Phone (626) 993-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124196 | CA | MD | Marriage & Family Therapist |
| 90166 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penny Lane | Past | Accepting new patients | |
| Penny Lane | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1043491756
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1558664631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1205265402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-993-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-993-3000"
}
],
"practiceLocations": [
{
"address_1": "11429 Valley Blvd",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "91731",
"country_code": "US",
"telephone_number": "626-993-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11429 Valley Blvd",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "91731",
"country_code": "US",
"telephone_number": "626-993-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 S Atlantic Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900401200",
"country_code": "US",
"telephone_number": "323-318-9960",
"fax_number": "323-780-3211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Huntington Dr",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "91010",
"country_code": "US",
"telephone_number": "626-993-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "ADRIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "90166",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "124196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.