Individual provider Active NPI

Juan Eugene Lopez Jr.

  • Rehabilitation Practitioner
  • Santa Ana, CA
National Provider Identifier
1285450031
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
1971 E 4TH St Ste 130a
Santa Ana, CA 92705-3944
Phone
(714) 547-7559
Fax
(714) 244-2135
NPI assigned
Nov 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

1971 E 4TH St Ste 130a
Santa Ana, CA 92705-3944

Mailing address

1971 E 4TH St Ste 130a
Santa Ana, CA 92705-3917
Phone (714) 547-7559

Other practice location 1

3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496
Phone (949) 646-9227 ext. 210

Other practice location 2

23291 Mill Creek Dr Ste 200
Laguna Hills, CA 92653-1631
Phone (949) 458-2715 ext. 512

Other practice location 3

3055 W Orange Ave Ste 105
Anaheim, CA 92804-3152
Phone (714) 638-8277 ext. 405

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1285450031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 E 4TH ST STE 130A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053917",
            "telephone_number": "714-547-7559",
            "fax_number": "714-244-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E 4TH ST STE 130A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053944",
            "telephone_number": "714-547-7559",
            "fax_number": "714-244-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 Howard Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926261496",
            "country_code": "US",
            "telephone_number": "949-646-9227 x210",
            "fax_number": "949-646-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23291 Mill Creek Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531631",
            "country_code": "US",
            "telephone_number": "949-458-2715 x512",
            "fax_number": "949-458-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 W Orange Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043152",
            "country_code": "US",
            "telephone_number": "714-638-8277 x405",
            "fax_number": "714-638-8343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.