Individual provider Active NPI

Daisy Evelyn Lopez

  • Marriage & Family Therapist
  • San Carlos, CA
National Provider Identifier
1649895780
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123518 Issued in CA
Practice address
1303 San Carlos Ave
San Carlos, CA 94070-2317
Phone
(650) 395-7279
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 123518 CA Primary

Addresses

Primary practice location

1303 San Carlos Ave
San Carlos, CA 94070-2317

Mailing address

1303 San Carlos Ave
San Carlos, CA 94070-2317
Phone (650) 395-7279

Other practice location 1

1127 Village Dr Apt 5
Belmont, CA 94002-3442
Phone (831) 601-5075

Other practice location 2

1107 2nd Ave Apt 605
Redwood City, CA 94063-4041
Phone (831) 601-5075

Other practice location 3

1303 San Carlos Ave
San Carlos, CA 94070-2317
Phone (650) 395-7279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123518CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1649895780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-395-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-395-7279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Village Dr Apt 5",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "CA",
            "postal_code": "940023442",
            "country_code": "US",
            "telephone_number": "831-601-5075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 2nd Ave Apt 605",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940634041",
            "country_code": "US",
            "telephone_number": "831-601-5075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 San Carlos Ave",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940702317",
            "country_code": "US",
            "telephone_number": "650-395-7279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DAISY",
        "middle_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.