Individual provider Active NPI

Lynda Yamileth Lopez-Freyre, NP

  • Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1730425695
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
501573 Issued in CA
Practice address
517 N Main St
Suite 100
Santa Ana, CA 92701-4686
Phone
(714) 647-0401
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 501573 CA Primary

Addresses

Primary practice location

517 N Main St
Suite 100
Santa Ana, CA 92701-4686

Mailing address

517 N Main St
Suite 100
Santa Ana, CA 92701-4686
Phone (714) 647-0401

Other identifiers 1

IdentifierTypeStateIssuer
1730425695MedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001498 CA Practitioner - Nurse Practitioner 0244528115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Practice addresses (Care Compare)

100 N Barranca St
West Covina, CA 91791-1637
Phone (626) 377-7608

424 Beryl Cove Way
Seal Beach, CA 90740-6218
Phone (562) 852-3758

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
501573CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lynda Lopez-Freyre FNP-C Professional Nursing Corporation Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Memorialcare Medical Foundation Nurse Practitioner CurrentSince Aug 31, 2018 Accepting new patients
Home Care MD Medical Group CurrentSince Feb 17, 2021 Accepting new patients

Locations

6517 Eastern Ave
Bell Gardens, CA 90201
Phone (323) 773-8295

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

517 N Main St
Ste 100
Santa Ana, CA 92701
Phone (714) 647-0401

360 E 7th St
Ste D
Upland, CA 91786
Phone (909) 920-9193

100 N Barranca St
Ste 900J
West Covina, CA 91791
Phone (626) 377-7608

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1730425695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014686",
            "telephone_number": "714-647-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014686",
            "telephone_number": "714-647-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-FREYRE",
        "first_name": "LYNDA",
        "middle_name": "YAMILETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "501573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730425695",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.