Javier Lopez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029225 Issued in CA

Practice address

1520 S Imperial Ave
El Centro, CA 92243-4241

Phone

(760) 352-2551

Fax

(888) 631-5150

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Imperial Manor Skilled Nursing Inc

  • Rural Health Clinic/Center
  • Brawley, CA
  • NPI 1912662883
  Medicare reassignment NPD
• Legacy MD Medical Group Inc

  • General Practice Physician
  • El Centro, CA
  • NPI 1073210753
  Medicare reassignment NPD
• Vo Medical Center

  • Urgent Care Clinic/Center
  • El Centro, CA
  • NPI 1609118041
  Medicare reassignment NPD
• Vo Medical Center

  • Cardiac Rehabilitation Registered Nurse
  • El Centro, CA
  • NPI 1447949292
  NPD
• Easyaccess Medical Group, Inc

  • Urgent Care Clinic/Center
  • Calexico, CA
  • NPI 1386160810
  NPD (past)
• Legacy MD Medical Group Inc

  • Cardiac Rehabilitation Registered Nurse
  • Calexico, CA
  • NPI 1285494351
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1770340515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W MALLARD ST",
            "city": "HEBER",
            "state": "CA",
            "postal_code": "922499661",
            "telephone_number": "760-554-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-352-2551",
            "fax_number": "888-631-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Cole Blvd",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922313211",
            "country_code": "US",
            "telephone_number": "760-352-2551",
            "fax_number": "888-631-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAVIER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lopez
• Emmanuel Lopez
• Ivonne Lopez
• Jacob Lopez
• Jacqueline Perez Lopez, RN
• Jose Lopez I
• Joshua Lopez
• Leslie Elizabeth Lopez
• Linda Michelle Lopez
• Maria Magdalena Lopez

• Family Nurse Practitioner in El Centro, CA
• Providers in El Centro, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.