Gabriel A Lopez-Alcivar, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

917 Medical Cir
Myrtle Beach, SC 29572-4116

Phone

(843) 449-0453

Fax

(843) 449-9531

NPI assigned

Oct 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1609742824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 SAFE HAVEN DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797485",
            "telephone_number": "843-491-2221",
            "fax_number": "843-491-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MEDICAL CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724116",
            "telephone_number": "843-449-0453",
            "fax_number": "843-449-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-ALCIVAR",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Bay Rehab, LLC
• Joseph Long II
• Shannon Long, LPC
• Lookaway Anesthesia LLC
• Gianna Lopes, PTA
• Cheryl Darlene Lopez
• Milliane Lopez
• Brian Loskill, P.A.
• Stephen John Lostetter III
• Lotus Wellness and Integrative Medicine LLC

• Surgical Assistant in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Surgical Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.