Individual provider Active NPI

David Naranjo Lopez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1760418867
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7570 Issued in TX
Practice address
4910 Golden Quail Ste 100
San Antonio, TX 78240-1769
Phone
(210) 615-8495
Fax
(210) 615-8747
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H7570 TX Primary

Addresses

Primary practice location

4910 Golden Quail Ste 100
San Antonio, TX 78240-1769

Mailing address

4910 Golden Quail Ste 100
San Antonio, TX 78240-1769
Phone (210) 615-8495

Other identifiers 2

IdentifierTypeStateIssuer
8B5636OtherTXMEDICARE
138822514MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000574 TX Practitioner - Family Practice 6204822836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Stanford University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4910 Golden Quail
Suite 100
San Antonio, TX 78240-1769
Phone (210) 615-8495

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions18
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7570TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr David N Lopez MD PA Family Medicine CurrentSince Mar 1, 2004 Accepting new patients

Locations

4910 Golden Quail
Ste 100
San Antonio, TX 78240
Phone (210) 615-8495

Organizations & group practices 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1760418867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 GOLDEN QUAIL STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401769",
            "telephone_number": "210-615-8495",
            "fax_number": "210-615-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 GOLDEN QUAIL STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401769",
            "telephone_number": "210-615-8495",
            "fax_number": "210-615-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DAVID",
        "middle_name": "NARANJO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8B5636",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138822514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.