Individual provider Active NPI

Andrea Contreras Lopez, N.M.D.

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1205298676
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16-1539 Issued in AZ
Practice address
2401 N 24TH St
Suite B
Phoenix, AZ 85008-1836
Phone
(602) 273-6888
NPI assigned
Mar 24, 2016
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16-1539 AZ Primary

Addresses

Primary practice location

2401 N 24TH St
Suite B
Phoenix, AZ 85008-1836

Mailing address

2401 N 24TH St Ste B
Phoenix, AZ 85008-1836
Phone (602) 581-7650

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

LicenseStateTypeSpecialty
16-1539AZMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1205298676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N 24TH ST STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081836",
            "telephone_number": "602-581-7650",
            "fax_number": "602-581-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N 24TH ST",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081836",
            "telephone_number": "602-273-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS LOPEZ",
        "first_name": "ANDREA",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "16-1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.