Active NPI
Jeze Lopez
- Rehabilitation Practitioner
- Rancho Cucamonga, CA
National Provider Identifier
1861648859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 9047 Arrow Rte
Suite 170
Rancho Cucamonga, CA 91730-4449 - Phone
- (909) 466-8696
- Fax
- (909) 948-0457
- NPI assigned
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
9047 Arrow Rte
Suite 170
Rancho Cucamonga, CA 91730-4449
Mailing address
1001 Hollowell St
Ontario, CA 91762-3311
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1861648859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 HOLLOWELL ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9047 ARROW RTE",
"address_2": "SUITE 170",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304449",
"telephone_number": "909-466-8696",
"fax_number": "909-948-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JEZE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.