JENNILYN T LOPEZ (NPI# 1568628881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568628881 |
| Entity Type | Individual |
| Full Name | JENNILYN T LOPEZ |
| Credential | PA-C |
| Practice Address |
9131 Adams Ave Huntington Beach CA 92646-3462 |
| Mailing Address |
Po Box 15775 Newport Beach CA 92659-5775 |
| Practice Telephone | 7148455900 |
| Practice Fax Number | 7148455922 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19759 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC71014F | 05 |
| Street Address |
9131 ADAMS AVE |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92646-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551873 | Andrew Mleynek | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-01-06 |
| 1316457906 | Samantha Siegel | Nurse Practitioner | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2017-10-09 |
| 1710342332 | Shawn Kristin Shintaku | Nurse Practitioner | 9131 Adams Ave, Huntington Beach, CA 92646 | 2015-12-26 |
| 1578938981 | Beach Family Doctors Medical Group | Preferred Provider Organization | 9131 Adams Ave, Huntington Beach, CA 92648 | 2015-12-10 |
| 1144527441 | Bonnie Cheung | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2011-02-22 |
| 1194855486 | Primary Care Specialists, Inc | Clinic/Center | 9131 Adams Ave, Huntington Beach, CA 92646-3403 | 2007-03-06 |
| 1770693905 | Michael M Khatibi | Internal Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3403 | 2006-08-30 |
| 1326095605 | Julia Harris | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-05-30 |
| 1467406611 | Beach Family Doctors Medical Group | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-05-20 |
| 1699729889 | Sabine Bernbeck | Family Medicine | 9131 Adams Ave, Huntington Beach, CA 92646-3462 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
| 1740646934 | Srinivasa Murthy | Pediatrics | 8851 Baywood Drive, Huntington Beach, CA 92646 | 2016-01-05 |
| 1134584436 | A & A Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 9106 Adams Ave, Huntington Beach, CA 92646 | 2015-12-31 |
| 1053776302 | A&a Pharmacies, Inc. | Pharmacy | 9106 Adams Avenue, 9108, Huntington Beach, CA 92646 | 2015-12-30 |
| 1194101956 | The Piercy Group, Inc. | Physical Therapist | 19032 Magnolia St. B, Huntington Beach, CA 92646 | 2015-08-04 |
| 1033596788 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 9110 Adams Avenue, Huntington Beach, CA 92646 | 2015-05-01 |
| 1427446640 | Celline Thanh Pham Dds, Inc | Dentist | 19059 Bushard St, Huntington Beach, CA 92646 | 2014-12-23 |
| 1538565320 | Orange County Urgent Care #3 Inc. | Clinic/Center | 10026-10028 Adams Avenue, Huntington Beach, CA 92646 | 2014-11-06 |
| 1184065948 | Megan Price | Behavioral Analyst | 8902 Albatross, Huntington Beach, CA 92646 | 2013-07-09 |
| 1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
| Find all providers in zip 92646 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440005 | Alexandra Lauren Hasen | Physician Assistant | 9691 Allison Cir, Huntington Beach, CA 92646-8411 | 2020-08-31 |
| 1407468515 | Victoria Heglar | Physician Assistant | 16321 Content Cir, Huntington Beach, CA 92649-2506 | 2020-08-19 |
| 1942838867 | Morgan Mary Sheridan Mcclafferty | Physician Assistant | 20511 Suburbia Ln, Huntington Beach, CA 92646-5449 | 2020-03-27 |
| 1912542069 | Mark Andrew Naval | Physician Assistant | 7822 Newman Ave Apt C, Huntington Beach, CA 92647-6813 | 2019-11-13 |
| 1740824853 | Valentina Gonzalez | Physician Assistant | 7290 Edinger Ave Unit 4045, Huntington Beach, CA 92647-0948 | 2019-10-31 |
| 1275195760 | Noelle Capulong | Physician Assistant | 18800 Delaware St Ste 670, Huntington Beach, CA 92648-7605 | 2019-07-03 |
| 1497316178 | Shereen Memarian | Physician Assistant | 19671 Beach Blvd Ste 300, Huntington Beach, CA 92648-5901 | 2019-06-24 |
| 1427510254 | Alisa Renee Allen | Physician Assistant | 8101 Newman Ave Ste B, Huntington Beach, CA 92647-7042 | 2019-04-01 |
| 1144789538 | Vivian Acevedo | Physician Assistant | 8101 Newman Ave Ste D, Huntington Beach, CA 92647-7042 | 2019-03-15 |
| 1922588151 | Natasha Christine Erickson | Physician Assistant | 14901 Trojan Cir, Huntington Beach, CA 92647-2329 | 2018-08-16 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92646 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.