Active NPI
Adrian Raul Lopez-Marquez, B.A.
- Social Worker
- Los Angeles, CA
National Provider Identifier
1275107393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123860
- Practice address
- 1920 Marengo St
Los Angeles, CA 90033-1317 - Phone
- (323) 276-6400
- NPI assigned
- May 13, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 123860 | CA | Primary |
Addresses
Primary practice location
1920 Marengo St
Los Angeles, CA 90033-1317
Mailing address
919 1St St
San Fernando, CA 91340-2957
Phone (818) 256-1124
Other practice location 1
919 1st St
San Fernando, CA 91340-2957
Phone (818) 256-1124
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123860 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1275107393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 1ST ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402957",
"telephone_number": "818-256-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 MARENGO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331317",
"telephone_number": "323-276-6400"
}
],
"practiceLocations": [
{
"address_1": "919 1st St",
"address_purpose": "LOCATION",
"city": "San Fernando",
"state": "CA",
"postal_code": "913402957",
"country_code": "US",
"telephone_number": "818-256-1124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ-MARQUEZ",
"first_name": "ADRIAN",
"middle_name": "RAUL",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "123860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.