MS. LEEZETT ANDREA LOPEZ RN, BSN, PHN, CCRN
NPI 1235650672
Nurse Anesthetist, Certified Registered in Fontana, CA

Active since July 06, 2017Accepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(833) 574-2273 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Leezett Andrea Lopez Rn, Bsn, Phn, Ccrn NPPES

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

MS. LEEZETT ANDREA LOPEZ RN, BSN, PHN, CCRN (NPI 1235650672) is an individual nurse anesthetist, certified registered in Fontana, California, licensed in California (95001634) and active in the NPI registry since July 2017. She maintains a secondary practice location in Los Angeles and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235650672
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. LEEZETT ANDREA LOPEZCredential: RN, BSN, PHN, CCRN
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address1100 N State StLos Angeles, CA 90033-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2017
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1235650672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95001634
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 837949 (CA)
9961 SIERRA AVE, Fontana, CA 92335

Secondary Practice Location 1

Location 11100 N State StLos Angeles, CA 90033-5000 · Phone (232) 409-3929

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Leezett Andrea Lopez Rn, Bsn, Phn, Ccrn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234517756
PECOS Enrollment IDI20220610002497

Medicare Billing Reassignments

3

Medicare enrollment records show Leezett Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4936 SNOWBERRY DR
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10408 INDUSTRIAL CIR
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 35 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 92335 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335

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 Leezett Lopez's NPI number?

The NPI number for Leezett Lopez is 1235650672. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Leezett Lopez located?

Leezett Lopez practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (833) 574-2273.

What is Leezett Lopez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Leezett Lopez enrolled in Medicare?

Yes. Leezett Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Leezett Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leezett Lopez reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Fontana, CA), Jp Anesthesia Inc (Fontana, CA) and Marquee Anesthesia Consultants Inc (Redlands, 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 Leezett 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 Leezett Lopez was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.