Jaime Lopez, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17906 Issued in CA

Practice address

23 Main St
Winters, CA 95694-1722

Phone

(530) 795-4377

Fax

(530) 795-3054

NPI assigned

Oct 25, 2006

Last updated

Nov 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jlopez679834@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winters Healthcare Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winters, CA
  • NPI 1992736086
  Medicare reassignment NPD (past)
• Community Medical Centers Inc

  dba Community Medical Centers, Suite 210

  • Federally Qualified Health Center (FQHC)
  • Vacaville, CA
  • NPI 1003507880
  NPD
• Community Medical Centers Inc

  dba Community Medical Centers, Lodi East

  • Federally Qualified Health Center (FQHC)
  • Lodi, CA
  • NPI 1891529061
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1922183532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956941934",
            "telephone_number": "530-795-5200",
            "fax_number": "530-795-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956941722",
            "telephone_number": "530-795-4377",
            "fax_number": "530-795-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Wayne Hiramatsu, D.D.S.
• Robert Huston, AMFT, APCC
• Georgina Olazaran Jamison, DDS
• Carla J Kakutani, M.D.
• Kristin Lakoma
• Jesus Javier Luna, PH.D.
• Candace Holly Mack, OTR/L
• Euphemia Matondo
• Daniel G Mazza, D.D.S.
• Katie Medina Diaz

• Physician Assistant in Winters, CA
• Providers in Winters, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.