Active NPI
Lemuel Lopez
- Family Nurse Practitioner
- Huntington Beach, CA
National Provider Identifier
1386323913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027037
- Practice address
- 17822 Beach Blvd Ste 430
Huntington Beach, CA 92647-7508 - Phone
- (714) 843-6800
- NPI assigned
- Jul 12, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95022683 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95027037 | CA | Primary |
Addresses
Primary practice location
17822 Beach Blvd Ste 430
Huntington Beach, CA 92647-7508
Mailing address
5920 Pimenta Ave
Lakewood, CA 90712-1038
Phone (562) 884-6630
Other practice location 1
9333 Imperial Hwy
Downey, CA 90242-2812
Phone (562) 884-6630
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 |
|---|---|---|---|
| 95022683 | CA | MD | Nurse Practitioner |
| 95027037 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1386323913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 PIMENTA AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121038",
"telephone_number": "562-884-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD STE 430",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477508",
"telephone_number": "714-843-6800"
}
],
"practiceLocations": [
{
"address_1": "9333 Imperial Hwy",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422812",
"country_code": "US",
"telephone_number": "562-884-6630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "LEMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95022683",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.