Individual provider Active NPI

Peter Lopez-Perez, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1982336772
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111550 Issued in CA
Practice address
4096 Arizona St
San Diego, CA 92104-1711
Phone
(619) 278-8728
NPI assigned
Jun 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 111550 CA Primary

Addresses

Primary practice location

4096 Arizona St
San Diego, CA 92104-1711

Mailing address

7986 Dagget St
San Diego, CA 92111-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523001730 CA Practitioner - Marriage and Family Therapist 1557880408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services LLC CurrentSince Mar 15, 2025 Accepting new patients
Pathways Community Services LLC CurrentSince Mar 15, 2025 Accepting new patients
Pathways Community Services LLC Current Accepting new patients
Digital Detox Family Therapy, Inc Marriage & Family Therapist Current Accepting new patients
Pathways Community Services LLC PastSince Jun 3, 2025 Accepting new patients

Locations

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

3870 Murphy Canyon Rd
Ste 320325
San Diego, CA 92123
Phone (858) 262-8504

7986 Dagget St
San Diego, CA 92111
Phone (858) 262-8516

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1982336772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7986 DAGGET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 ARIZONA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041711",
            "telephone_number": "619-278-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-PEREZ",
        "first_name": "PETER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.