Active NPI
Angela Rosalia Lopez Lopez, OTR/L
- Occupational Therapist
- Chula Vista, CA
National Provider Identifier
1710453626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19249
- Practice address
- 1415 Ridgeback Rd Ste 2
Chula Vista, CA 91910-6983 - Phone
- (757) 650-6636
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 19249 | CA | Primary |
Addresses
Primary practice location
1415 Ridgeback Rd Ste 2
Chula Vista, CA 91910-6983
Mailing address
3288 Adams Ave
San Diego, CA 92116-1646
Phone (619) 356-3117
Other practice location 1
7922 Palm St
Lemon Grove, CA 91945
Phone (619) 644-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19249 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1710453626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3288 ADAMS AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921161646",
"telephone_number": "619-356-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 RIDGEBACK RD STE 2",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106983",
"telephone_number": "757-650-6636"
}
],
"practiceLocations": [
{
"address_1": "7922 Palm St",
"address_purpose": "LOCATION",
"city": "Lemon Grove",
"state": "CA",
"postal_code": "91945",
"country_code": "US",
"telephone_number": "619-644-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ LOPEZ",
"first_name": "ANGELA",
"middle_name": "ROSALIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2021-07-14",
"certification_date": "2021-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
- Longs Drug Stores California LLC (CVS Pharmacy #09240)
- Longs Drug Stores California LLC (CVS Pharmacy #09632)
- Xochitl Raine Rhodes Longstaff, MD
- Rebecca M. Loperena
- Lopez and Noyes Dental Corp
- Maria Isabel Lopez Lopez
- Mirna Lopez Madrigal
- Rocio Lucia Lopez Martinez
- Thania Belen Lopez Martinez
- Jessica Lopez Robles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.