Pablo Guillermo Lopez-Veron, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA62230 Issued in CA

Practice address

206 California Ave
Palo Alto, CA 94306-1618

Phone

(909) 670-8057

NPI assigned

Jan 25, 2023

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 23, 2023 through Mar 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Palo Alto Mind Body

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1639729932
  NPD (past)

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1942916812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 SAN PASQUAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CALIFORNIA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061618",
            "telephone_number": "909-670-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-VERON",
        "first_name": "PABLO",
        "middle_name": "GUILLERMO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longs Drug Stores California LLC (CVS Pharmacy #09984)
• Kelly Look, MD
• Ashish Loomba, MD
• Stephanie Loomis, PA-C
• Ivan Lopez Rodriguez
• Alberto Suguitan Lopez, PT
• Cecilio Lopez, MD
• Diana Lopez
• Leonor Mallari Lopez, DNP
• See Lor, PHARMD

• Physician Assistant in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.