Organization Active NPI

Lorenzo Lopez MD Inc

  • Obstetrics & Gynecology Physician
  • Clovis, CA
National Provider Identifier
1881953487
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A62591 Issued in CA
Legal business name
LORENZO LOPEZ MD INC
Practice address
722 Medical Center Dr E Ste 101
Clovis, CA 93611-6810
Phone
(559) 297-9500
Fax
(559) 297-9572
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Lorenzo Lopez, MD
Title
MD
Phone
(559) 297-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A62591 CA Primary

Addresses

Primary practice location

722 Medical Center Dr E Ste 101
Clovis, CA 93611-6810

Mailing address

722 Medical Center Dr E Ste 101
Clovis, CA 93611-6810
Phone (559) 297-9500

Other identifiers 1

IdentifierTypeStateIssuer
00A625910MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1881953487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 MEDICAL CENTER DR E STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116810",
            "telephone_number": "559-297-9500",
            "fax_number": "559-297-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 MEDICAL CENTER DR E STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116810",
            "telephone_number": "559-297-9500",
            "fax_number": "559-297-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZO LOPEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "559-297-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A62591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A625910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.