Active NPI
Oscar a Lopez MD
- Gastroenterology Physician
- Brawley, CA
National Provider Identifier
1689070088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A108837
- Legal business name
- OSCAR A LOPEZ MD
- Practice address
- 751 W Legion Rd Ste 103
Brawley, CA 92227-7754 - Phone
- (619) 717-1111
- NPI assigned
- Nov 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oscar A Lopez, MD
- Title
- Ceo
- Phone
- (619) 717-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A108837 | CA | Primary |
Addresses
Primary practice location
751 W Legion Rd Ste 103
Brawley, CA 92227-7754
Mailing address
207 W Legion Rd Ste 103
Brawley, CA 92227-7780
Phone (760) 351-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
207 W Legion Rd
Ste 103
Brawley, CA 92227
205 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Brawley, CA
- NPI 1205034733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1689070088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W LEGION RD STE 103",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 W LEGION RD STE 103",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277754",
"telephone_number": "619-717-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSCAR A LOPEZ MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-717-1111",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A108837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.