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GLENN ANDREW LOPEZ M.D., M.P.H.
NPI 1184714040
Family Medicine in Los Angeles, CA

Active since October 13, 2006PECOS Enrolled
808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1600(818) 957-4100 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glenn Andrew Lopez M.d., M.p.h. NPPES

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

GLENN ANDREW LOPEZ M.D., M.P.H. (NPI 1184714040) is an individual family medicine provider in Los Angeles, California, licensed in California (G59193) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184714040
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN ANDREW LOPEZCredential: M.D., M.P.H.
Location Address808 W 58TH STLos Angeles, CA 90037-3632
Mailing Address833 1/2 N Heliotrope DrLos Angeles, CA 90029-2521 · (818) 314-1738
Phone(323) 541-1600
Fax(818) 957-4100
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 28, 2017
✔ NPI 1184714040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G59193
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
808 W 58TH ST, Los Angeles, CA 90037
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Andrew Lopez M.d., M.p.h. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Glenn Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Johns Community Health
Same address
Community Health
808 W 58TH ST
Los Angeles, CA 90037
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1073363768 (323) 541-1600
Northeast Valley Health Corporation
15 mi
Federally Qualified Health Center (FQHC)
7223 N. FAIR AVENUE
Sun Valley, CA 91352
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1013199264 (818) 432-4400

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 90037 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

TAMMY SUE TOWNS APRN
Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1400
DAVID K YOO NP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
GABRIELLA OLOYE RN, FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1141
KIMI YAMAMOTO
Dentist (Orofacial Pain)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 285-9830
DR. SAGHAR SABER M.D
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
INGEBORG WESTIEN MD
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
KEISHA NERISE CONWRIGHT FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
DR. DEANDRA NICHELLE TURNER D.D.S.
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600

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 Glenn Lopez's NPI number?

The NPI number for Glenn Lopez is 1184714040. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Glenn Lopez located?

Glenn Lopez practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1600.

What is Glenn Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glenn Lopez enrolled in Medicare?

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

Which organizations bill Medicare for Glenn Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Lopez reassigns Medicare benefits to 2 organizations: St. Johns Community Health (Los Angeles, CA) and Northeast Valley Health Corporation (Sun Valley, 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 Glenn 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 Glenn Lopez was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.