Active NPI
Sofia Lopez, OD
- Optometrist
- San Bernardino, CA
National Provider Identifier
1417831470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36070
- Practice address
- 1099 E Hospitality LN
San Bernardino, CA 92408-2813 - Phone
- (909) 478-5554
- NPI assigned
- Aug 4, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 36070 | CA | Primary |
Addresses
Primary practice location
1099 E Hospitality LN
San Bernardino, CA 92408-2813
Mailing address
9164 Owari LN
Riverside, CA 92508-6230
Phone (714) 393-4035
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 |
|---|---|---|---|
| 36070 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1417831470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9164 OWARI LN",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925086230",
"telephone_number": "714-393-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 E HOSPITALITY LN",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082813",
"telephone_number": "909-478-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SOFIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.