Active NPI
Courtney Lopez
- Behavior Technician
- Tracy, CA
National Provider Identifier
1518459130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 6785
- Practice address
- 1020 Saffron Dr
Tracy, CA 95377-8671 - Phone
- (510) 305-0396
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 6785 | CA | Primary |
Addresses
Primary practice location
1020 Saffron Dr
Tracy, CA 95377-8671
Mailing address
1020 Saffron Dr
Tracy, CA 95377-8671
Phone (510) 305-0396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08876952 | Other | KAISER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1518459130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SAFFRON DR",
"city": "TRACY",
"state": "CA",
"postal_code": "953778671",
"telephone_number": "510-305-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SAFFRON DR",
"city": "TRACY",
"state": "CA",
"postal_code": "953778671",
"telephone_number": "510-305-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "6785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "08876952",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.