D.a. Lopez, MD

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

License

G10411 Issued in CA

Legal business name

D.A. LOPEZ, MD

Practice address

230 Prospect PL
Suite 260
Coronado, CA 92118-1978

Phone

(619) 437-1146

Fax

(619) 437-1912

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Sirena Ferguson

Title

Office Manager

Phone

(619) 437-1146

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Brogan, MD

  • Dermatology Physician
  • Coronado, CA
  • NPI 1801273479
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1306935200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL",
            "address_2": "SUITE 260",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-437-1146",
            "fax_number": "619-437-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL",
            "address_2": "SUITE 260",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-437-1146",
            "fax_number": "619-437-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.A. LOPEZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SIRENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-437-1146"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "G10411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crown Coast Pharmacy LLC
• Crown Island Family Practice a Medical Corporation
• Crownview Co-Occuring Institute, Inc
• Crownview Medical Group, Inc
• Elizabeth Ann Cushing
• D.a. Lopez, MD, Inc.
• Daniel J Brown MD a Medical Corporation
• Stephen H Dao, D.D.S.
• David Warren DDS Inc
• Anabel De la Parra, ED.S., M.S.

• Clinical & Laboratory Dermatological Immunology Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• Clinical & Laboratory Dermatological Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.