Emilie Ellen Lopez
Individual provider Active NPI Case Manager/Care Coordinator · Mojave, CA
NPI 1891350682 · NPPES record last updated Jul 14, 2023
Key facts
- NPI
- 1891350682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 16940 Highway 14 Ste F
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- Fax
- (661) 824-5026
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
16940 Highway 14 Ste F
Mojave, CA 93501-1238
Mailing address
16940 Highway 14 Ste F
Mojave, CA 93501-1238
Phone (661) 824-5020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172V00000X | Medicaid | CA |
Other providers in Mojave, CA
- Lancaster Pharmacy
- Jorge Lepe
- Caryaist Lynn Lightner
- Nathaniel Lloyd
- Mariana Lopez Calderon
- Gabriel Lopez
- Catlin Lovejoy
- Angelita Anna Luna
- Jacqueline Carry Martinez
- Stephanie Malaine Masterson
All providers in Mojave, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.