JOSE LOPEZ FNP-C
NPI 1114535044
Nurse Practitioner - Family in Redlands, CA
About Jose Lopez Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE LOPEZ FNP-C (NPI 1114535044) is an individual family provider in Redlands, California, licensed in California (95014938) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Redlands.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jose Lopez Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jose Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jose Lopez's NPI number?
The NPI number for Jose Lopez is 1114535044. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Jose Lopez located?
Jose Lopez practices at 2 W Fern Ave, Redlands, CA 92373. The listed phone number is (909) 793-3311.
What is Jose Lopez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jose Lopez enrolled in Medicare?
Yes. Jose Lopez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jose Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Lopez reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Pomona, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jose Lopez was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Jose Lopez, FNP-C · NPI 1114535044
Family physician in Redlands, California. Individual provider, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1114535044 (Entity type: Individual)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014938 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 W FERN AVE, Redlands, CA 92373-5916
- **Phone:** (909) 793-3311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of California (NPI 1932214228, Pomona, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114535044) · Data from the CMS NPPES public registry.