Active NPI
Erica J Lopez, PA
- Surgical Physician Assistant
- Albuquerque, NM
National Provider Identifier
1295762912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2006-0018
- Practice address
- 502 Elm St NE
Albuquerque, NM 87102-2512 - Phone
- (505) 841-1000
- Fax
- (505) 843-2853
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2006-0018 | NM | |
| Surgical Physician Assistant | 363AS0400X | PA2006-0018 | NM | Primary |
Addresses
Primary practice location
502 Elm St NE
Albuquerque, NM 87102-2512
Mailing address
502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2006-0018 | NM | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1295762912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022512",
"telephone_number": "505-841-1000",
"fax_number": "505-843-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022512",
"telephone_number": "505-841-1000",
"fax_number": "505-843-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ERICA",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2006-0018",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NM",
"license": "PA2006-0018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.