Kathleen Isabel Lopez

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

182746 Issued in CA

Practice address

2512 Artesia Blvd
Redondo Beach, CA 90278-3264

Phone

(424) 277-2899

Fax

(424) 277-2899

NPI assigned

Apr 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regeneration PsychiatryGroup PAC ID 3072911122, 13 clinicians

Steven L Mandel M D a Professional CorporationGroup PAC ID 9133206493, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24050/brand/1/csg/1/fhir/r4
• Direct secure messaging: kathleen.lopez.1@24050.direct.athenahealth.com

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.

• Regeneration Psychiatry

  • Psychiatry Physician
  • Redondo Beach, CA
  • NPI 1285200584
  Medicare reassignment Care Compare group NPD
• Steven L Mandel M D a Professional Corporation

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1366641722
  Medicare reassignment Care Compare group NPD
• Rebecca Salamo MD Inc

  • Psychiatry Physician
  • Redondo Beach, CA
  • NPI 1467283614
  NPD
• Ketamine Clinics LLC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1154894616
  NPD (past)

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1609496751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783264",
            "fax_number": "424-277-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783264",
            "telephone_number": "424-277-2899",
            "fax_number": "424-277-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Westwood Plz Ste 37-384",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245055",
            "country_code": "US",
            "telephone_number": "951-788-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KATHLEEN",
        "middle_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "182746",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Daukszsa Long, MSSW, ASW
• Longs Drug Stores California LLC
• Matthew Wesley Longstreet
• Max Lopez Conde
• Amber L Lopez Molnar
• Nancy Jean Lopez, P.T.
• Ramon P Lopez Jr., MPT
• Tamara Aleise Lopez
• Los Angeles County - South Bay Mtu
• Los Angeles County Department of Mental Health

• Psychiatry Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.