Individual provider Active NPI

Daniel Lopez, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1265430144
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52410 Issued in CA
Practice address
6475 Camden Ave Ste 105
San Jose, CA 95120-2847
Phone
(408) 997-9155
Fax
(408) 997-9106
NPI assigned
Jul 13, 2005
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A52410 CA Primary

Addresses

Primary practice location

6475 Camden Ave Ste 105
San Jose, CA 95120-2847

Mailing address

6475 Camden Ave Ste 105
San Jose, CA 95120-2847
Phone (408) 997-9155

Other practice location 1

1057 E Grand Ave
Arroyo Grande, CA 93420-2504
Phone (805) 270-1700

Other practice location 2

2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8030

Other identifiers 2

IdentifierTypeStateIssuer
00A524100OtherCABLUE SHIELD PROVIDER #
330583308OtherCABLUE CROSS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000405 CA Practitioner - Family PracticePractitioner - Emergency Medicine 1254357189 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52410CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center CurrentSince Oct 7, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Afpmg Inc Family Medicine CurrentSince Oct 15, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Aug 2, 2021 Accepting new patients
Regents of the University of California CurrentSince Jun 17, 2024 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Emergency Physicians Medical Group, Inc Past Accepting new patients
Emergency Medicine Physician Partners of Rancho Mirage, Inc Past Accepting new patients
Desert Vip Urgent Care Past Accepting new patients
James S Manion, MD, Inc Past Accepting new patients
James S Manion, MD, Inc Family Medicine Past Accepting new patients

Locations

1057 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 270-1700

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

2602 1st Ave
Ste 105
San Diego, CA 92103

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

6475 Camden Ave
Ste 105
San Jose, CA 95120
Phone (408) 997-9155

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

Interoperability endpoints

  • Direct secure messaging: daniel.lopez.p1@direct.lakeside.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1265430144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202847",
            "telephone_number": "408-997-9155",
            "fax_number": "408-997-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202847",
            "telephone_number": "408-997-9155",
            "fax_number": "408-997-9106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934202504",
            "country_code": "US",
            "telephone_number": "805-270-1700",
            "fax_number": "805-481-7097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Blosser Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934587310",
            "country_code": "US",
            "telephone_number": "805-361-8030",
            "fax_number": "805-361-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "00A524100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "330583308",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.