Individual provider Active NPI

Jose T. Flores-Lopez, M.D.

  • Psychiatry Physician
  • Fremont, CA
National Provider Identifier
1588864821
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G50533 Issued in CA
Practice address
1860 Mowry Ave Ste 400
Fremont, CA 94538-1730
Phone
(510) 770-8040
NPI assigned
Jul 24, 2007
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X G50533 CA
Psychiatry Physician 2084P0800X G50533 CA Primary

Addresses

Primary practice location

1860 Mowry Ave Ste 400
Fremont, CA 94538-1730

Mailing address

1860 Mowry Ave Ste 400
Fremont, CA 94538-1730
Phone (510) 770-8040

Other practice location 1

12004 Valpredo Rd
Bakersfield, CA 93313-9662
Phone (661) 800-8533

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
I20120508000682 CA Practitioner - Psychiatry 4688836620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Stanford University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, shared by 11 NPIs, 106 clinicians

Practice addresses (Care Compare)

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50533CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Feb 16, 2021 Accepting new patients
County of Kern Psychiatry CurrentSince Dec 25, 2021 Accepting new patients
County of Kern Psychiatry Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Global Family Care Network, Inc PastSince Oct 6, 2024 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1588864821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE STE 400",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-770-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE STE 400",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-770-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12004 Valpredo Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933139662",
            "country_code": "US",
            "telephone_number": "661-800-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES-LOPEZ",
        "first_name": "JOSE",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "G50533",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G50533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.