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JUSTIN DAVID LOPEZ MD
NPI 1043075617
General Practice in Tacoma, WA

Active since February 13, 2024PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1250 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin David Lopez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN DAVID LOPEZ MD (NPI 1043075617) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (0101287500) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043075617
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJUSTIN DAVID LOPEZCredential: MD
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1250
Phone(253) 968-1250
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1043075617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101287500
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9040 JACKSON AVE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin David Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Lopez's NPI number?

The NPI number for Justin Lopez is 1043075617. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Justin Lopez located?

Justin Lopez practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1250.

What is Justin Lopez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Justin Lopez enrolled in Medicare?

Yes. Justin Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Lopez was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.