Paul Milciades Lopez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A37210 Issued in CA

Practice address

502 W Valley Blvd
Colton, CA 92324-2249

Phone

(213) 705-1555

Fax

(909) 825-9375

NPI assigned

Oct 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colton Valley Medical Care IncGroup PAC ID 5799974796, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abbot Homehealth Inc Home health agency, Rancho Cucamonga, CA, CCN 559502

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Colton Valley Medical Care Inc

  • Family Medicine Physician
  • Colton, CA
  • NPI 1962688127
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abbot Homehealth Inc

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1932628146
  Care Compare affiliation

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1902357734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242249",
            "telephone_number": "213-705-1555",
            "fax_number": "909-825-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242249",
            "telephone_number": "213-705-1555",
            "fax_number": "909-825-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PAUL",
        "middle_name": "MILCIADES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37210",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Alexandria Lopez
• Krystal Marie Lopez, RDN
• Linda Lee Lopez
• Maria Mendiola Lopez, LMFT
• Miriam Lopez, B.ED., M.ED.
• Tammy Lynn Loring
• Nathan Kenneth Louie, DO
• Gerard E Louis Jr.
• Ebony Marie Love
• Loving Hands Hospice, LLC.

• Internal Medicine Physician in Colton, CA
• Providers in Colton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.