1. Home
  2. Directory
  3. California
  4. Fontana
  5. Physician Assistant
  6. NPI Profile

SIMON PAUL LOPEZ
NPI 1063229573
Physician Assistant in Fontana, CA

Active since December 17, 2024PECOS EnrolledAccepts Medicare Assignment
9393 HEMLOCK AVE, FONTANA, CA 92335(951) 505-4984 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Simon Paul Lopez NPPES

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

SIMON PAUL LOPEZ (NPI 1063229573) is an individual physician assistant in Fontana, California and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063229573
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSIMON PAUL LOPEZ
Location Address9393 HEMLOCK AVEFontana, CA 92335-2580
Mailing Address9393 Hemlock AveFontana, CA 92335-2580 · (951) 505-4984
Phone(951) 505-4984
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1063229573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
9393 HEMLOCK AVE, Fontana, CA 92335
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Simon Paul Lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032624895
PECOS Enrollment IDI20250711002697
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Simon Lopez's NPI number?

The NPI number for Simon Lopez is 1063229573. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Simon Lopez located?

Simon Lopez practices at 9393 Hemlock Ave, Fontana, CA 92335. The listed phone number is (951) 505-4984.

What is Simon Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Simon Lopez enrolled in Medicare?

Yes. Simon Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Simon Lopez was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.