Active NPI
Ralph Lopez
- Case Manager/Care Coordinator
- Santa Ana, CA
National Provider Identifier
1912365388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RII03270115
- Practice address
- 2101 E 1St St
Santa Ana, CA 92705-4007 - Phone
- (714) 542-3581
- Fax
- (714) 542-2246
- NPI assigned
- Feb 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RII03270115 | CA | Primary |
Addresses
Primary practice location
2101 E 1St St
Santa Ana, CA 92705-4007
Mailing address
7531 Loch Alene Ave
Pico Rivera, CA 90660-4133
Phone (714) 542-3581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3854018 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RII03270115 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1912365388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7531 LOCH ALENE AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906604133",
"telephone_number": "714-542-3581",
"fax_number": "714-542-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E 1ST ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927054007",
"telephone_number": "714-542-3581",
"fax_number": "714-542-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RALPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "RII03270115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C3854018",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.