Active NPI
Candy A Lopez
- Counselor
- Fremont, CA
National Provider Identifier
1386966646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 40965 Grimmer Blvd
Fremont, CA 94538-2846 - Phone
- (510) 938-2226
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
40965 Grimmer Blvd
Fremont, CA 94538-2846
Mailing address
1501 Decoto Road #203
Union City, CA 94587-3719
Phone (510) 938-2226
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1386966646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 DECOTO ROAD #203",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873719",
"telephone_number": "510-938-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40965 GRIMMER BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382846",
"telephone_number": "510-938-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CANDY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.