Individual provider Active NPI

Maria Cecilia Macias Lopez, MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1487395745
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A192797 Issued in CA
Practice address
4646 Brockton Ave Ste 201
Riverside, CA 92506-0104
Phone
(951) 631-0103
Fax
(951) 439-3822
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A192797 CA Primary

Addresses

Primary practice location

4646 Brockton Ave Ste 201
Riverside, CA 92506-0104

Mailing address

4646 Brockton Ave Ste 201
Riverside, CA 92506-0104
Phone (951) 931-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611003500 CA Practitioner - Family Practice 4183196025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4646 Brockton Ave
Suite 201
Riverside, CA 92506-0102

4646 Brockton Ave
Suite 201
Riverside, CA 92506-0104

4983 Carlingford Ave
Riverside, CA 92504-1703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A192797CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria C Macias Lopez MD Inc Family Medicine Current Accepting new patients

Locations

4646 Brockton Ave
Ste 201
Riverside, CA 92506
Phone (951) 585-1800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1487395745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060104",
            "telephone_number": "951-931-0103",
            "fax_number": "951-439-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060104",
            "telephone_number": "951-631-0103",
            "fax_number": "951-439-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS LOPEZ",
        "first_name": "MARIA",
        "middle_name": "CECILIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A192797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.