Active NPI
Jairo Eduardo Lopez, M.D.
- Family Medicine Physician
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A96832
- Practice address
- 880 N State St
Hemet, CA 92543 - Phone
- (951) 766-2450
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A96832 | CA | Primary |
Addresses
Primary practice location
880 N State St
Hemet, CA 92543
Mailing address
880 N State St
Hemet, CA 92543-1459
Phone (951) 766-2450
Other practice location 1
880 N State St
Hemet, CA 92543
Phone (951) 766-2450
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 N State St
Hemet, CA 92543-1459
Phone (951) 766-2450
Hospital & facility affiliations
- Newline Home Health and Palliative Care, Inc.
- Riverside University Health System-Medical Center
- San Gorgonio Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96832 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Springs Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Reuben C Castillo, Professional Corporation | Past | Accepting new patients |
Locations
880 N State St
Hemet, CA 92543
Phone (951) 766-2450
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
4065 County Circle Dr
Ste 403
Riverside, CA 92503
Interoperability endpoints
- jlopez96832@direct.llu.edu
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1073669404
-
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1194839035
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
-
- General Practice Physician
- Perris, CA
- NPI 1942429188
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
-
- Home Health Agency
- Colton, CA
- NPI 1144736422
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1669666186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 N STATE ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925431459",
"telephone_number": "951-766-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 N STATE ST",
"city": "HEMET",
"state": "CA",
"postal_code": "92543",
"telephone_number": "951-766-2450"
}
],
"practiceLocations": [
{
"address_1": "880 N State St",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "92543",
"country_code": "US",
"telephone_number": "951-766-2450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAIRO",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A96832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.