Individual provider Active NPI

Jennifer Lee Lopez

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1790122042
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
555 Technology CT
Riverside, CA 92507-2155
Phone
(951) 686-8500
NPI assigned
May 28, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

555 Technology CT
Riverside, CA 92507-2155

Mailing address

19055 Rockwood Dr
Yorba Linda, CA 92886-5446
Phone (714) 872-1089

Other practice location 1

100 E Valley View Dr
Fullerton, CA 92832-1321
Phone (714) 680-9000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108004374 CA Practitioner - Marriage and Family Therapist 6103302195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

32605 Temecula Pkwy
Suite 305
Temecula, CA 92592-6840
Phone (858) 427-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Headlight Health Medical Group PLLC Marriage & Family Therapist CurrentSince Mar 28, 2026 Accepting new patients
Sokyahealth Medical Group PC Marriage & Family Therapist CurrentSince Dec 1, 2025 Accepting new patients
Olive Crest PastSince Mar 11, 2025 Accepting new patients
Olive Crest PastSince Nov 10, 2024 Accepting new patients

Locations

32605 Temecula Pkwy
Ste 305
Temecula, CA 92592
Phone (858) 427-5060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790122042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19055 ROCKWOOD DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865446",
            "telephone_number": "714-872-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TECHNOLOGY CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072155",
            "telephone_number": "951-686-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928321321",
            "country_code": "US",
            "telephone_number": "714-680-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.