Organization Active NPI

Patricia Y. Lopez DDS, Inc.

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1497932230
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55961 Issued in CA
Legal business name
PATRICIA Y. LOPEZ DDS, INC.
Practice address
675 S 2ND Ave
Covina, CA 91723-3518
Phone
(626) 938-0195
Fax
(626) 938-0193
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Patricia Y. Lopez, DDSNPI 1952591869
Title
Dentist
Phone
(626) 938-0195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55961 CA Primary

Addresses

Primary practice location

675 S 2ND Ave
Covina, CA 91723-3518

Mailing address

675 S 2ND Ave
Covina, CA 91723-3518
Phone (626) 938-0195

National Provider Directory

National Provider Directory

Locations

675 S 2nd Ave
Covina, CA 91723
Phone (626) 593-5522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1497932230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233518",
            "telephone_number": "626-938-0195",
            "fax_number": "626-938-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233518",
            "telephone_number": "626-938-0195",
            "fax_number": "626-938-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA Y. LOPEZ DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-938-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.