Active NPI
Deanna Lynn Lopez, M.S., OTR/L
- Occupational Therapist
- Riverside, CA
National Provider Identifier
1932380045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 451
- Practice address
- 4080 Lemon St
Riverside, CA 92501-3609 - Phone
- (951) 955-1000
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 1150 | NE | |
| Occupational Therapist | 225X00000X | 451 | CA | Primary |
Addresses
Primary practice location
4080 Lemon St
Riverside, CA 92501-3609
Mailing address
11875 Pigeon Pass Rd
Suite B13 #324
Moreno Valley, CA 92557-6044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1150 | Other | NE | HEALTH AND HUMAN SERVICES |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 451 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1932380045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 PIGEON PASS RD",
"address_2": "SUITE B13 #324",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 LEMON ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013609",
"telephone_number": "951-955-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DEANNA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "NE",
"license": "1150",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AND HUMAN SERVICES",
"identifier": "1150",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.