Roberto R. Lopez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20218 Issued in CA

Practice address

81557 Dr Carreon Blvd
C-9
Indio, CA 92201-5517

Phone

(760) 391-6999

NPI assigned

Aug 8, 2006

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Indio, CA
  • NPI 1780861500
  NPD
• Valley Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1033269543
  NPD
• Valley Star Behavioral Health, Inc.

  • Licensed Psychiatric Technician
  • Colton, CA
  • NPI 1558849141
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1457361230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD STE C9",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015562",
            "telephone_number": "562-889-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD",
            "address_2": "C-9",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-391-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROBERTO",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 20218",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Lopez
• Michael Joel Lopez, CADC I
• Miguel Lopez
• Monica Lizette Lopez
• Nohemi Lopez
• Ruth Maribel Lopez, PTA
• Samuel D. Lopez, SUBSTANCE ABUSE COUN
• Veronica Lopez, LVN
• Wendy Lopez
• John-John Loreto

• Clinical Social Worker in Indio, CA
• Providers in Indio, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.