Jorge R Lopez MD a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JORGE R LOPEZ MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

2740 S Bristol St Ste 100
Santa Ana, CA 92704-6232

Phone

(714) 825-1844

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Jroge Ruiz Lopez, MD

Title

Owner

Phone

(714) 825-1844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Ruiz Lopez, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1881705556
  Medicare reassignment NPD
• Ashlee Morgan Shapiro, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1316304561
  NPD

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1902654536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046232",
            "telephone_number": "714-825-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046232",
            "telephone_number": "714-825-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE R LOPEZ MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JROGE",
        "authorized_official_middle_name": "RUIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-825-1844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Jones, MD, MBS
• Shannon Jones
• Nisa Joorabchi
• Yolandi Jooste
• Jane Jordan, MFT
• Jorge Vital DDS Inc
• Jose E Aguilar M D a Medical Corporation
• Jose E Aguilar MD a Medical Corporation
• Jose L Valdez MD Inc
• Jose Luis Osoria D.D.S.

• Primary Care Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.