Nicole Marie Lopez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28513 Issued in CA

Practice address

266 Mobil Ave
Suite 108
Camarillo, CA 93010-6328

Phone

(805) 482-0105

Fax

(805) 482-0205

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Optimal Chiropractic

  • Health Service Clinic/Center
  • Camarillo, CA
  • NPI 1861910010
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770663155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MAJESTIC CT",
            "address_2": "# 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212175",
            "telephone_number": "805-490-5489",
            "fax_number": "805-482-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MOBIL AVE",
            "address_2": "SUITE 108",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106328",
            "telephone_number": "805-482-0105",
            "fax_number": "805-482-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Velia Lopez, NURSE
• Joseph Eli Lopez
• Kyla Lopez
• Leah Laura Lopez
• Matthew Lopez
• Rosalinda Lopez
• Katie Nichole Lorencz
• Nicola Loretto
• Lorna M. Barte, M.D. and Associates a Behavioral Health MGMT Group Inc
• Diana Babayan Losey

• Chiropractor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.