Brendan Akira Lopez, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000042413 Issued in CA

Practice address

2281 Plummer Ave
San Jose, CA 95125-4700

Phone

(408) 264-1664

NPI assigned

Nov 17, 2021

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

State licenses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1669139358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 MICHON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245721",
            "telephone_number": "408-693-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 PLUMMER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254700",
            "telephone_number": "408-264-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BRENDAN",
        "middle_name": "AKIRA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000042413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Lopez
• Anthony C Lopez, M.D.
• Ariana D Lopez
• Bernadine Lopez
• Bianca Sayuri Lopez
• Brentan Lopez
• Brian Lopez
• Brittany Lopez
• Cecilia Lopez
• Cecilia Celena Lopez

• Athletic Trainer in San Jose, CA
• Providers in San Jose, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.