DANIEL LOPEZ M.D.
NPI 1265430144
Family Medicine in San Jose, CA

Q: What is Daniel Lopez's NPI number?

The NPI number for Daniel Lopez is 1265430144. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Daniel Lopez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Lopez was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 13, 2005PECOS Enrolled

6475 CAMDEN AVE STE 105, SAN JOSE, CA 95120(408) 997-9155(408) 997-9106 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2024, Sep 23, 2021, Feb 29, 2016 (3 updates tracked since 2016).

On this page

About Daniel Lopez M.d. NPPES

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

DANIEL LOPEZ M.D. (NPI 1265430144) is an individual family medicine provider in San Jose, California, licensed in California (A52410) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265430144

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDANIEL LOPEZCredential: M.D.

Location Address6475 CAMDEN AVE STE 105San Jose, CA 95120-2847

Mailing Address6475 Camden Ave Ste 105San Jose, CA 95120-2847 · (408) 997-9155 · Fax (408) 997-9106

Phone(408) 997-9155

Fax(408) 997-9106

Sole ProprietorNo

Enumeration DateJuly 13, 2005

Last NPPES UpdateApril 12, 20243 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1265430144 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 · A52410

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.

6475 CAMDEN AVE STE 105, San Jose, CA 95120

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11057 E Grand AveArroyo Grande, CA 93420-2504 · Phone (805) 270-1700 · Fax (805) 481-7097

Location 22050 S Blosser RdSanta Maria, CA 93458-7310 · Phone (805) 361-8030 · Fax (805) 361-8097

Other Identifiers 2

Other00A524100CA · Blue Shield Provider #

Other330583308CA · Blue Cross Provider #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Lopez M.d. 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

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

Regents Of The University Of California

86 mi

Multi-Specialty

9390 BIG HORN BLVD
Elk Grove, CA 95758

Reassigned Medicare billing, California enrollment
918 clinicians in this Medicare group

NPI 1174966071 (916) 683-3950

Community Health Centers Of The Central Coast Inc

122 mi

Federally Qualified Health Center (FQHC)

2515 MAIN ST, SUITE B
Cambria, CA 93428

Reassigned Medicare billing, California enrollment
213 clinicians in this Medicare group

NPI 1881611705 (805) 927-5292

San Diego American Indian Health Center

408 mi

Addiction (Substance Use Disorder)

2630 1ST AVE
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
51 clinicians in this Medicare group

NPI 1003902917 (619) 234-2158

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

232 services200 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95120 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers45 claims82 services$5.19 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers13 claims17 services$0.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers48 claims48 services$89.31 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$34.21 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier18 claims18 services$210.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

HANSAA NANDHINNI GOPALAKRISHNAN MD

Family Medicine