Cynthia Lopez, LICENSE PHLEBOTOMIST

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

CPT00070338 Issued in CA

Practice address

14894 Sunnydale Dr
Lake Hughes, CA 93532-1216

Phone

(661) 494-5528

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1518639947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14894 SUNNYDALE DR",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935321216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14894 SUNNYDALE DR",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935321216",
            "telephone_number": "661-494-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "LICENSE PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "CA",
            "license": "CPT00070338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WILLIAMS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hayley Kealy
• Lake Hughes Recovery Estates, Inc. (First Responders First)
• Lake Hughes Recovery Estates, Inc. (First Responders First)
• Lake Hughes Recovery Inc. (Lake Hughes Recovery)
• LH Blue Sky Inc (Lake Hughes Recovery Center)
• Alexander Megarit, MSW
• Michelle Melendez, PNP
• Ana Valenzuela Moennich
• Avedis Oksazian
• Samantha M Parker

• Phlebology Physician in Lake Hughes, CA
• Providers in Lake Hughes, CA by specialty
• Phlebology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.