Matthew James Lopez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN700797 Issued in CA

Practice address

17982 Sky Park Cir Ste J
Irvine, CA 92614-6482

Phone

(949) 809-8774

Fax

(949) 809-5789

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• AIDS Services Foundation Orange County

  dba Radiant Health Centers

  • Federally Qualified Health Center (FQHC)
  • Irvine, CA
  • NPI 1932223781
  NPD

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1255098307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17982 SKY PARK CIR STE J",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146482",
            "telephone_number": "949-809-8774",
            "fax_number": "949-809-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17982 SKY PARK CIR STE J",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146482",
            "telephone_number": "949-809-8774",
            "fax_number": "949-809-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN700797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "F4435210",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mlopez@radianthealthcenters.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17982 Sky Park Cir Ste J",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926146482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kendal Remy Lopez
• Krystal Danielle Lopez, PSY.D
• Marcus Lopez
• Maria Loraine Bitantes Lopez, RN
• Maritza Lopez
• Mercedes Lopez
• Michael Lopez, PHD
• Michelle Lopez
• Nicole Lopez, ATC
• Nicole Elizabeth Lopez

• Licensed Vocational Nurse in Irvine, CA
• Providers in Irvine, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.