DR. JONATHAN D LOPEZ (NPI# 1881682714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881682714 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN D LOPEZ |
| Credential | MD |
| Practice Address |
1860 Pennsylvania Ave Suite 230 Fairfield CA 94533-0000 |
| Mailing Address |
1860 Pennsylvania Ave Suite 230 Fairfield CA 94533-3590 |
| Practice Telephone | 7076464000 |
| Practice Fax Number | 7076464004 |
| Mailing Telephone | 7076464000 |
| Mailing Fax Number | 7076464004 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A102015 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FL2542238 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317575 | Jonathan Lopez | Dermatology | 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 | 2013-06-25 |
| 1154941631 | Jonathan Blaine Lopez | Pharmacist | 1725 W Sale Rd, Lake Charles, LA 70605-2521 | 2020-04-24 |
| 1790313062 | Jonathan Lopez | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2020-03-31 |
| 1326675083 | Jonathan B Lopez | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Jjl 431, Houston, TX 77030-1501 | 2020-03-24 |
| 1821557877 | Jonathan Tadeo Lopez | Behavior Technician | 800 Howe Ave Ste 140, Sacramento, CA 95825-3965 | 2019-03-19 |
| 1316144728 | Jonathan Peter Lopez | Psychiatry & Neurology | 4800 Sand Point Way Ne, Neurology, Mb.7.420, Seattle, WA 98105-3901 | 2007-06-29 |
| Street Address |
1860 PENNSYLVANIA AVE SUITE 230 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500676 | Milind Dhond | Internal Medicine | 1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 | 2005-07-07 |
| 1609304963 | Rebecca L Parker | Nurse Practitioner | 1860 Pennsylvania Ave, Fairfield, CA 94533-3590 | 2017-05-31 |
| 1083057707 | Acute Care Surgery Medical Group, Inc. | Clinic/Center | 1860 Pennsylvania Ave, Suite 305, Fairfield, CA 94533-3590 | 2013-04-11 |
| 1457625055 | North Bay Cardiac Thoracic and Vascular Surgery Inc | Surgery | 1860 Pennsylvania Ave, Suite 110, Fairfield, CA 94533-3590 | 2012-02-28 |
| 1811294283 | Maricel C Roblez | Nurse Practitioner | 1860 Pennsylvania Ave, Suite 230, Fairfield, CA 94533-3590 | 2011-02-22 |
| 1275849903 | Lauren Weber | Family Medicine | 1860 Pennsylvania Ave, Suite 300, Fairfield, CA 94533-3590 | 2010-08-18 |
| 1023347101 | Donald R Doyle Md Inc A Professional Corp | Internal Medicine | 1860 Pennsylvania Ave, Suite 300b, Fairfield, CA 94533-3590 | 2009-12-18 |
| 1083842843 | Rachel M. Villalon | Obstetrics & Gynecology | 1860 Pennsylvania Ave, Suite 300, Fairfield, CA 94533-3590 | 2009-06-30 |
| 1245473131 | Ameer Almullahassani | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2009-04-08 |
| 1730337254 | Robin Price | Family Medicine | 1860 Pennsylvania Ave, Suite 300a, Fairfield, CA 94533-3590 | 2008-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303892 | Medical Specialists of Fairfield, LLC | Internal Medicine | 4699 Main Street, Fairfield, CT 06824 | 2006-10-23 |
| 1972529873 | Piyush Vinaykumar Patel | Internal Medicine | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2006-07-14 |
| 1780688275 | Oncology/ Hematology Care, Inc. | Internal Medicine | 3050 Mack Rd, Suite 300, Fairfield, OH 45014-5379 | 2005-06-13 |
| 1972507564 | Oncology/ Hematology Care, Inc. | Internal Medicine | 2960 Mack Rd, Ste 105, Fairfield, OH 45014-5374 | 2005-06-10 |
| 1124388384 | Christin B Destefano | Internal Medicine | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2012-05-22 |
| 1609163260 | Nicholas Brand Pleat | Internal Medicine | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2011-07-05 |
| 1649492166 | Kanwaldeep Kaur Rasila | Internal Medicine | 2720 Low Court, Fairfield, CA 94534-9771 | 2007-05-03 |
| 1497877500 | Yelena Krijanovski | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534-9771 | 2007-04-06 |
| 1013094382 | Prasad R Kudalkar | Internal Medicine | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2006-11-01 |
| 1194821868 | James Long | Internal Medicine | 1860 Pennsylvania Ave, Suite 230, Fairfield, CA 94533-3590 | 2006-09-16 |
| Find all providers in FAIRFIELD | ||||
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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.