MARIO ALBERTO LOPEZ (NPI# 1932335080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932335080 |
| Entity Type | Individual |
| Full Name | MARIO ALBERTO LOPEZ |
| Credential | PA-C |
| Practice Address |
8788 Jamacha Rd Spring Valley CA 91977-4035 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152555 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6199064564 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21385 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UPIN | W5352 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 6th Ave, San Diego, CA 921014300 | 6195152430 | |
| 2325 Commercial St Ste 1400, San Diego, CA 921131195 | 6195152422 | |
| 823 Gateway Center Way, San Diego, CA 921024541 | 6195152300 | 6199064564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427677780 | Mario Lopez | Specialist/Technologist | 4115 32nd Ave Sw, Naples, FL 34116-8315 | 2020-04-15 |
| 1487035416 | Mario Lopez | Social Worker | 214 N Byron Dr, Lemoore, CA 93245-2559 | 2015-06-16 |
| 1427079094 | Mario Ordono Lopez | Family Medicine | 720 Alamitos Ave, Long Beach, CA 90813-4726 | 2006-07-21 |
| 1952355968 | Mario R. Lopez | Internal Medicine | 116-1 Calle 74, Villa Carolina, Carolina, PR 00985-4117 | 2006-05-22 |
| 1720043102 | Mario M Lopez | Internal Medicine | Edith Nourse Rogers Veterans Memorial Hospital, 200 Springs Road, Bedford, MA 01730 | 2006-04-19 |
| 1386129351 | Mario Enrique Lopez | Behavior Technician | 3664 Sw 150th Ct, Miami, FL 33185-3968 | 2018-09-26 |
| 1336598036 | Mario Lopez | Dental Assistant | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1316380819 | Mario Lopez | Family Medicine | 4300 Alton Rd, Miami Beach, FL 33140 | 2013-04-15 |
| 1104010008 | Mario Marchan Lopez | Case Manager/Care Coordinator | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2007-09-04 |
| 1235340985 | Mario A. Lopez | Physical Therapy Assistant | 15600 San Pedro Ave, Suite 307, San Antonio, TX 78232-3740 | 2007-05-24 |
| Street Address |
8788 JAMACHA RD |
| City | SPRING VALLEY |
| State | CA |
| Zip Code | 91977-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508801069 | Family Health Centers of San Diego, Inc | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2006-06-18 |
| 1629613757 | Family Health Centers of San Diego, Inc | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2019-11-13 |
| 1649760356 | Melissa Robyn Sachs | Social Worker | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2018-05-17 |
| 1013362953 | Jasmine Valerie Gutierrez | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2016-04-28 |
| 1518333483 | Kacie Gayla Brumley | Internal Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2015-08-14 |
| 1225442643 | Rebecca Elise Bacharach | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2014-06-13 |
| 1326450867 | Shane Alan Fuller | Dentist | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2014-06-02 |
| 1043622459 | Armdabi Chung | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2014-05-20 |
| 1326488719 | Melissa Marilyn Macy | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2013-06-28 |
| 1477805018 | Blanca Idalia Reyes | Case Manager/Care Coordinator | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2012-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448436 | Tonetta Marie Smith | Counselor | 3322 Sweetwater Blvd, Ste 102, Spring Valley, CA 91977 | 2019-03-26 |
| 1164938080 | Tanya Renee Grant | Registered Nurse | 3536 Sweetwater Springs Blvd #d17, Spring Valley, CA 91977 | 2017-12-15 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1861819807 | Tara Bruton | Student in an Organized Health Care Education/Training Program | 211 Tarango Pl, Spring Valley, CA 91977 | 2014-03-27 |
| 1871835470 | Mcalister Institute for Treatment & Education, Inc. | Counselor | 8585 Blossom Lane, Room 117 and 117a, Spring Valley, CA 91977 | 2013-03-21 |
| 1992051692 | Alexander Forrest Greer | Counselor | 8585 Blossom Ln., Spring Valley, CA 91977 | 2012-07-31 |
| 1538433784 | Christopher Joseph Pittman | Rehabilitation Practitioner | 1209 San Miguel Avenue, Spring Valley, CA 91977 | 2012-03-06 |
| 1962653055 | Cherokee Personnel Services | Nursing Facility/Intermediate Care Facility | 3005 Rockcliff Ln, Spring Valley, CA 91977 | 2008-10-07 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
| Find all providers in zip 91977 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811404676 | Wesley Fischman | Physician Assistant | 9 Oz Ct, Spring Valley, NY 10977-1109 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | SPRING VALLEY |
| Zip Code | 91977 |
Please comment or provide details below to improve the information on MARIO ALBERTO LOPEZ.
| 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.