Juan-David Nino-Lopez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018808 Issued in CA

Practice address

154 Frisbie St Apt 1
Oakland, CA 94611-5831

Phone

(530) 219-0352

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ranjana Saxena MD IncGroup PAC ID 4789028002, 2 clinicians

Evelyn J Nakagawa MD IncGroup PAC ID 2466846399, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Evelyn J Nakagawa MD Inc

  • Internal Medicine Physician
  • San Leandro, CA
  • NPI 1003577305

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ranjana Saxena MD Inc

  • Internal Medicine Physician
  • San Leandro, CA
  • NPI 1639857485

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ranjana Saxena, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1770552721
  Medicare reassignment

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1386307569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 FRISBIE ST APT 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115831",
            "telephone_number": "530-219-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 FRISBIE ST APT 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115831",
            "telephone_number": "530-219-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINO-LOPEZ",
        "first_name": "JUAN-DAVID",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Argavan Nilforoush, RD
• Janet M Nilsen, RN, NP
• Craig John Nimick Jr., D.P.M.
• Claire Nims
• Daniel Ninh, PHARMD, MS, RPH
• Siu Ying Nip, MBCHB
• Nayaab Nisar
• Donna Nishijima
• Diane Nishikawa-Solomon, CRNA
• Kelly Nishikawa

• Family Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.