Active NPI
David Lopez
- Case Manager/Care Coordinator
- San Jose, CA
National Provider Identifier
1851536239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 25 N 14TH St Ste 140
San Jose, CA 95112 - Phone
- (408) 445-3400
- Fax
- (408) 275-1793
- NPI assigned
- Dec 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
25 N 14TH St Ste 140
San Jose, CA 95112
Mailing address
25 N 14TH St Ste 140
San Jose, CA 95112-6218
Phone (408) 445-3400
Other practice location 1
150 S Autumn St Ste A
San Jose, CA 95110-2515
Phone (408) 938-6750 ext. 205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum for Mental Health- Isp & FSP | Past | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1538529052
-
- Psychologist
- San Jose, CA
- NPI 1821215112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1851536239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N 14TH ST STE 140",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126218",
"telephone_number": "408-445-3400",
"fax_number": "408-275-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N 14TH ST STE 140",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-445-3400",
"fax_number": "408-275-1793"
}
],
"practiceLocations": [
{
"address_1": "150 S Autumn St Ste A",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951102515",
"country_code": "US",
"telephone_number": "408-938-6750 x205",
"fax_number": "408-977-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-12",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.