MR. ABRAHAM DAGOBERTO LOPEZ JR. PA
NPI 1073599619
Physician Assistant in Phoenix, AZ

Active since December 15, 2005PECOS Enrolled
5102 W CAMPBELL AVE, PHOENIX, AZ 85031(623) 848-5000 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Abraham Dagoberto Lopez Jr. Pa NPPES

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

MR. ABRAHAM DAGOBERTO LOPEZ JR. PA (NPI 1073599619) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (2816) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073599619
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ABRAHAM DAGOBERTO LOPEZ JR.Credential: PA
Location Address5102 W CAMPBELL AVEPhoenix, AZ 85031-1703
Mailing Address4518 W Paradise DrGlendale, AZ 85304-3027 · (602) 320-0580 · Fax (602) 354-4171
Sole ProprietorYes
Enumeration DateDecember 15, 2005
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1073599619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 2816
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 2816 (AZ)
5102 W CAMPBELL AVE, Phoenix, AZ 85031

Other Identifiers 5

Other453051001AZ · Group Health Group
Medicaid817827AZ
Other3987220AZ · Eyecare
OtherAW1436AZ · Healthnet Group
Other860373636AZ · Humana-group #

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Abraham Dagoberto Lopez Jr. Pa 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

Psychiatry & Neurology (Psychiatry)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Emergency Medicine
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Psychiatry & Neurology (Psychiatry)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Pharmacist (Ambulatory Care)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
General Acute Care Hospital (Critical Access)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Nurse Practitioner (Family)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Social Worker
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Psychiatry & Neurology (Psychiatry)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031

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 Abraham Lopez's NPI number?

The NPI number for Abraham Lopez is 1073599619. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Abraham Lopez located?

Abraham Lopez practices at 5102 W Campbell Ave, Phoenix, AZ 85031. The listed phone number is (623) 848-5000.

What is Abraham Lopez's specialty?

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

Is Abraham Lopez enrolled in Medicare?

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

What insurance does Abraham Lopez accept?

Health plans from Blue Cross Blue Shield of Arizona list Abraham Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abraham Lopez was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.