Active NPI
Javier Lopez Jr., C.M.T.
- Massage Therapist
- Emeryville, CA
National Provider Identifier
1356947451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1268
- Practice address
- 1231 40TH St Apt 231
Emeryville, CA 94608-3671 - Phone
- (415) 691-9431
- NPI assigned
- Dec 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1268 | CA | Primary |
Addresses
Primary practice location
1231 40TH St Apt 231
Emeryville, CA 94608-3671
Mailing address
1890 Oregano Way
Tracy, CA 95376-6727
Phone (415) 574-0711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1268 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1356947451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 OREGANO WAY",
"city": "TRACY",
"state": "CA",
"postal_code": "953766727",
"telephone_number": "415-574-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 40TH ST APT 231",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946083671",
"telephone_number": "415-691-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAVIER",
"name_suffix": "Jr.",
"credential": "C.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-05",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "1268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.