Aditaim Lopez Martinez, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95004455 Issued in CA

Practice address

13522 Newport Ave
Unit 200
Tustin, CA 92780-3707

Phone

(800) 658-5877

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Aditaim Lopez Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Unique Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Arcadia, CA
  • NPI 1346543865

  W-2 Managing Employee

  CMS ownership

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.

• Hospice of the North Coast

  • Community Based Hospice Care Agency
  • Carlsbad, CA
  • NPI 1992704506
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1629421102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 KILBY LN",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837166",
            "telephone_number": "760-845-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13522 NEWPORT AVE",
            "address_2": "UNIT 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803707",
            "telephone_number": "800-658-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MARTINEZ",
        "first_name": "ADITAIM",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADITAIM",
            "last_name": "LOPEZ",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luis Angel Lomeli
• Kara London, LMFT (100695)
• Longteng International Inc (Longteng Acupuncture Inc)
• Looking Glass Therapy Solutions
• Julie Rene Lopes, RN, NP
• Ashley V Lopez
• Desiree Marie Lopez
• Esmeralda Perez Lopez, NP
• Graciela Lopez
• Janet Lopez

• Nurse Practitioner in Tustin, CA
• Providers in Tustin, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.