Active NPI
Mitzy Lopez
- Student in an Organized Health Care Education/Training Program
- Daly City, CA
National Provider Identifier
1245993864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 61 Saint Marks CT
Daly City, CA 94015-2157 - Phone
- (323) 571-9595
- NPI assigned
- Oct 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
61 Saint Marks CT
Daly City, CA 94015-2157
Mailing address
1001 Potrero Ave Ste 7M8
San Francisco, CA 94110-3518
Phone (628) 206-5397
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1245993864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE STE 7M8",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 SAINT MARKS CT",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152157",
"telephone_number": "323-571-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MITZY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.