Individual provider Active NPI

Javier Lopez, PA

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1487170411
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1900 Gator Blvd
Virginia Beach, VA 23459-8950
Phone
(757) 763-2998
NPI assigned
Aug 22, 2017
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110009296 VA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1900 Gator Blvd
Virginia Beach, VA 23459-8950

Mailing address

1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-8736

Other practice location 2

1944 Centerville Tpke
Virginia Beach, VA 23464-6839
Phone (757) 362-9067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250102002846 VA Practitioner - Physician Assistant 8123555182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

1001 Centerbrooke LN
Suite 100
Suffolk, VA 23434-8663
Phone (757) 702-8105

1944 Centerville Tpke
Suite 100
Virginia Beach, VA 23464-6839
Phone (757) 362-9067

2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613
Phone (757) 395-1300

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

4701 Virginia Beach Blvd
Suite 210
Virginia Beach, VA 23462-7790
Phone (757) 702-8110

7394 Harbour Towne Pkwy
Suite 5
Suffolk, VA 23435-3473
Phone (757) 702-8116

7435 Granby St
Norfolk, VA 23505-3406
Phone (757) 702-8101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1487170411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ADMIRAL TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235112802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GATOR BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234598950",
            "telephone_number": "757-763-2998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-8736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1944 Centerville Tpke",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234646839",
            "country_code": "US",
            "telephone_number": "757-362-9067",
            "fax_number": "833-627-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAVIER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009296",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.