Edgar Lopez Herrera, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304680 Issued in CA

Practice address

400 Carlton Ave Ste 100
Los Gatos, CA 95032-2629

Phone

(949) 716-5050

NPI assigned

Aug 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• N/a N/a Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• More Physical Therapy, Inc.

  • Physical Therapist
  • San Jose, CA
  • NPI 1740374529
  Medicare reassignment NPD

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1821872243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 COUGAR DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939054719",
            "telephone_number": "831-229-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARLTON AVE STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322629",
            "telephone_number": "949-716-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ HERRERA",
        "first_name": "EDGAR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "304680",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melanie Lock, PA-C
• Karen Jean Long, MFT
• Longs Drug Stores California LLC
• Longs Drug Stores California LLC
• Laurel Evelyn Loomer, R.D.H.A.P.
• Brandon Lopez
• Joel Lopez
• Miguel Angel Lopez
• Teresa Lopez
• Loriana Cirlig MD Inc

• Physical Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.