NPI Details
DR. Jorge Roberto Lopez, M.D. is a family medicine in Rosemead, CA with 40 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jorge Roberto Lopez, M.D. NPI is 1528018504. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1986
The provider's business location address is:
1168 SAN GABRIEL BLVD
SUITE B
ROSEMEAD, CA
ZIP 91770-236
Phone: (626) 288-4741
Fax: (626) 288-4797
The NPI 1528018504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D0720479 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Administration of influenza virus vaccine (HCPCS:G0008)
The enumeration date for this NPI number is 5/11/2006 and was last updated on 4/5/2010.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | G61816 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | E78304 | MEDICARE UPIN | CALIFORNIA | |
| 2 | 00G618161 | MEDICAID | CALIFORNIA | |
| 3 | G61816 | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | |
| 4 | G61816 | OTHER | CALIFORNIA | MEDICAL LICENSE |
| 5 | 00G618160 | OTHER | CALIFORNIA | BLUE CROSS/BLUE SHIELD |
