Individual provider Active NPI

Leopoldo L Lopez, PA

  • Emergency Clinical Nurse Specialist
  • Turlock, CA
National Provider Identifier
1316928484
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Clinical Nurse SpecialistTaxonomy code 364SE0003X
License
PA16258 Issued in CA
Practice address
825 Delbon Ave
Turlock, CA 95382-2016
Phone
(209) 342-2300
Fax
(209) 524-4240
NPI assigned
Nov 7, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Clinical Nurse Specialist 364SE0003X PA16258 CA Primary

Addresses

Primary practice location

825 Delbon Ave
Turlock, CA 95382-2016

Mailing address

PO Box 661297
Arcadia, CA 91066-1297
Phone (626) 447-0296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000662 CA Practitioner - Physician Assistant 5991699860 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solar Urgent Care IncGroup PAC ID 3971803180, 6 clinicians

Practice addresses (Care Compare)

2100 Solar Dr
Oxnard, CA 93036-0647
Phone (805) 988-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16258CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Nov 29, 2014 Accepting new patients
Solar Urgent Care Inc. CurrentSince Aug 9, 2023 Accepting new patients
County of Ventura CurrentSince Nov 29, 2014 Accepting new patients
Max Franklin Lebow, a Medical Corporation Past Accepting new patients
Centinela Freeman Emergency Medical Associates Past Accepting new patients

Locations

2100 Solar Dr
Ste 100
Oxnard, CA 93036
Phone (805) 988-1300

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1316928484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661297",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661297",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822016",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LEOPOLDO",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "CA",
            "license": "PA16258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.