JOEL LOPEZ
NPI 1104391200
Nurse Practitioner - Family in Chino, CA

Q: What is Joel Lopez's NPI number?

The NPI number for Joel Lopez is 1104391200. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Q: What is Joel Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Joel Lopez was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since October 04, 2018PECOS Enrolled

5562 PHILADELPHIA ST STE 301, CHINO, CA 91710(214) 868-4371 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Oct 4, 2018 (2 updates tracked since 2018).

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About Joel Lopez NPPES

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

JOEL LOPEZ (NPI 1104391200) is an individual family provider in Chino, California, licensed in California (95023964) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104391200

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOEL LOPEZ

Location Address5562 PHILADELPHIA ST STE 301Chino, CA 91710-2499

Mailing Address3454 Del Rey StSan Diego, CA 92109-5752 · (619) 995-0303

Phone(214) 868-4371

Sole ProprietorYes

Enumeration DateOctober 4, 2018

Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1104391200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95023964

Also ListedRegistered NurseTaxonomy 163W00000X · License 95155507 (CA)

5562 PHILADELPHIA ST STE 301, Chino, CA 91710

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel Lopez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91710 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

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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 11

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

DR. DANIEL FERNANDEZ TAMAYO DNP

Nurse Practitioner (Family)