Active NPI
Patricia Lopez, RNP
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1720174659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN
- Practice address
- 1125 W 6TH St
Suite 103
Los Angeles, CA 90017-1833 - Phone
- (213) 202-3970
- Fax
- (213) 975-9257
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN | CA | Primary |
Addresses
Primary practice location
1125 W 6TH St
Suite 103
Los Angeles, CA 90017-1833
Mailing address
1125 W 6TH St
Suite 103
Los Angeles, CA 90017-1833
Phone (213) 202-3970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264301 | Other | CA | RN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1720174659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 W 6TH ST",
"address_2": "SUITE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171833",
"telephone_number": "213-202-3970",
"fax_number": "213-975-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 W 6TH ST",
"address_2": "SUITE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171833",
"telephone_number": "213-202-3970",
"fax_number": "213-975-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "PATRICIA",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "264301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.