Martin Jose Lopez, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA10000117 Issued in WA

Practice address

5304 N Road 68
Pasco, WA 99301-9189

Phone

(509) 543-9300

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Lourdes Hospital LLC

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)
• Our Lady of Lourdes Hospital at Pasco

  • Diagnostic Radiology Physician
  • Pasco, WA
  • NPI 1639503774
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871623876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 COWLITZ LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016760",
            "telephone_number": "509-547-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 N ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019189",
            "telephone_number": "509-543-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARTIN",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "OA10000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elden Isaac Lopez Samayoa, MD
• Anita Lopez
• Belen Lopez
• Delia Lopez
• Josie Lopez, CHW COM HEALTH WORKE
• Nora S Lopez, RN
• Lourdes
• Lourdes Health Network
• Lourdes Hospital LLC
• Lourdes Hospital LLC

• Medical Physician Assistant in Pasco, WA
• Providers in Pasco, WA by specialty
• Medical Physician Assistant in Washington

• 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.