Organization Active NPI

Gilbert D Lopes MD

  • Primary Care Clinic/Center
  • Palmdale, CA
National Provider Identifier
1538469754
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A40232 Issued in CA
Legal business name
GILBERT D LOPES MD
Practice address
1220 E Avenue S
Suiite D
Palmdale, CA 93550-6196
Phone
(661) 947-4124
Fax
(661) 947-5986
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Mr. Gilbert Dominic Lopes, MD
Title
Owner/Physician
Phone
(661) 947-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A40232 CA Primary

Addresses

Primary practice location

1220 E Avenue S
Suiite D
Palmdale, CA 93550-6196

Mailing address

1220 E Avenue S
Suiite D
Palmdale, CA 93550-6196
Phone (661) 947-4124

Other identifiers 1

IdentifierTypeStateIssuer
00A402321MedicaidCA

National Provider Directory

National Provider Directory

Locations

1220 E Avenue S
Ste D
Palmdale, CA 93550
Phone (661) 947-4124

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1538469754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E AVENUE S",
            "address_2": "SUIITE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506196",
            "telephone_number": "661-947-4124",
            "fax_number": "661-947-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E AVENUE S",
            "address_2": "SUIITE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506196",
            "telephone_number": "661-947-4124",
            "fax_number": "661-947-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT D LOPES MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "661-947-4124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A40232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.