Active NPI
Daniel Lopez, M.D.
- Family Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A52410
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A524100 | Other | CA | BLUE SHIELD PROVIDER # |
| 330583308 | Other | CA | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52410 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego American Indian Health Center | 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 | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Afpmg Inc | Family Medicine | Current | Accepting new patients |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | 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
- daniel.lopez.p1@direct.lakeside.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
dba San Diego Community Health Center
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
- NPI 1003902917
-
- Family Medicine Physician
- San Jose, CA
- NPI 1568411221
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
dba Community Health Centers Cambria
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
-
- Urgent Care Clinic/Center
- Palm Desert, CA
- NPI 1467584425
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Emergency Medicine Physician
- Rancho Mirage, CA
- NPI 1346541307
-
- Emergency Medicine Physician
- Rancho Mirage, CA
- NPI 1154362549
-
dba Eisenhower Immediate Care Center
- Urgent Care Clinic/Center
- La Quinta, CA
- NPI 1518991470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.