Individual provider Active NPI

Efrain Lopez, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1609340835
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010553 Issued in CA
Practice address
3131 Camino del Rio N Ste 860
San Diego, CA 92108-5756
Phone
(619) 317-1648
NPI assigned
Jan 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95010553 CA Primary

Addresses

Primary practice location

3131 Camino del Rio N Ste 860
San Diego, CA 92108-5756

Mailing address

5276 Beachfront Cove St Unit 234
San Diego, CA 92154-5256
Phone (760) 554-7894

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729003085 CA Practitioner - Nurse Practitioner 2668708645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concertocare Medical Group of California, P.C. Single Specialty CurrentSince May 24, 2025 Accepting new patients
CCTC, Corp Past Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: elopez@landmarkhealth-direct.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1609340835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5276 BEACHFRONT COVE ST UNIT 234",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921545256",
            "telephone_number": "760-554-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 CAMINO DEL RIO N STE 860",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085756",
            "telephone_number": "619-317-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EFRAIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.