DR. ANDREA NICOLE LOPEZ D.O.
NPI 1104576909
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Q: What is Andrea Lopez's NPI number?

The NPI number for Andrea Lopez is 1104576909. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Andrea Lopez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Lopez was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 24, 2022

11234 ANDERSON ST BLDG SUITEC, LOMA LINDA, CA 92350(909) 558-9532 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Feb 14, 2025 (2 updates tracked since 2025).

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About Dr. Andrea Nicole Lopez D.o. NPPES

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

DR. ANDREA NICOLE LOPEZ D.O. (NPI 1104576909) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since March 2022. She maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1104576909

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ANDREA NICOLE LOPEZCredential: D.O.

Location Address11234 ANDERSON ST BLDG SUITECLoma Linda, CA 92350-1716

Mailing Address10935 Terra Vista Pkwy Apt 103Rancho Cucamonga, CA 91730-6350 · (909) 377-9291

Phone(909) 558-9532

Sole ProprietorNo

Enumeration DateMarch 24, 2022

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1104576909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 20A22120 (CA)

11234 ANDERSON ST BLDG SUITEC, Loma Linda, CA 92350

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Secondary Practice Location 1

Location 11800 N California StStockton, CA 95204-6019 · Phone (209) 547-5716

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 Andrea Lopez's NPI number?

The NPI number for Andrea Lopez is 1104576909. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Andrea Lopez located?

Andrea Lopez practices at 11234 Anderson St Bldg Suitec, Loma Linda, CA 92350. The listed phone number is (909) 558-9532.

What is Andrea Lopez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Lopez was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.