Active NPI
Samuel Honorio Lopex
- Student in an Organized Health Care Education/Training Program
- Gilbert, AZ
National Provider Identifier
1306798103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4465 S Rock St
Gilbert, AZ 85297-4557 - Phone
- (480) 258-5167
- NPI assigned
- Feb 12, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | Primary |
Addresses
Primary practice location
4465 S Rock St
Gilbert, AZ 85297-4557
Mailing address
4465 S Rock St
Gilbert, AZ 85297-4557
Phone (480) 258-5167
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": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1306798103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 S ROCK ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852974557",
"telephone_number": "480-258-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 S ROCK ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852974557",
"telephone_number": "480-258-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEX",
"first_name": "SAMUEL",
"middle_name": "HONORIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.