Active NPI
Anthony Michael Rudolph Lopez, D.C.
- Chiropractor
- Woodland Hills, CA
National Provider Identifier
1205298973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33480
- Practice address
- 21226 Ventura Blvd # 294
Woodland Hills, CA 91364-2106 - Phone
- (818) 235-2525
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33480 | CA | Primary |
Addresses
Primary practice location
21226 Ventura Blvd # 294
Woodland Hills, CA 91364-2106
Mailing address
21226 Ventura Blvd # 294
Woodland Hills, CA 91364-2106
Phone (818) 235-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33480 | CA | MD | Speech-Language Pathologist |
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.
-
- Chiropractor
- Calabasas, CA
- NPI 1568298693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1205298973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21226 VENTURA BLVD # 294",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642106",
"telephone_number": "818-235-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21226 VENTURA BLVD # 294",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642106",
"telephone_number": "818-235-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ANTHONY",
"middle_name": "MICHAEL RUDOLPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.