Active NPI
Michelle Lopez
- Community Health Worker
- Culver City, CA
National Provider Identifier
1962997718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5350 Machado Rd.
Culver City, CA 90230 - Phone
- (310) 737-9393
- Fax
- (310) 881-0069
- NPI assigned
- Jun 25, 2018
- Reactivated
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
5350 Machado Rd.
Culver City, CA 90230
Mailing address
604 Evergreen St Apt 1
Inglewood, CA 90302-7035
Phone (323) 453-3800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1962997718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 EVERGREEN ST APT 1",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903027035",
"telephone_number": "323-453-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 MACHADO RD.",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90230",
"telephone_number": "310-737-9393",
"fax_number": "310-881-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2023-12-21",
"certification_date": "2022-08-03",
"deactivation_date": "2022-08-03",
"reactivation_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.