FREDERICK LOPEZ LLC
NPI 1306598297
Psychologist in Colton, CA

Active since January 21, 2022
1012 E COOLEY DR STE B2, COLTON, CA 92324(951) 567-1135 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, May 9, 2023, Jan 21, 2022 (3 updates tracked since 2022).

About Frederick Lopez Llc NPPES

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

FREDERICK LOPEZ LLC (NPI 1306598297) is a healthcare organization registered as a psychologist in Colton, California and active in the NPI registry since January 2022. The organization lists Frederick Lopez, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1306598297
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameFREDERICK LOPEZ LLC
Location Address1012 E COOLEY DR STE B2Colton, CA 92324-3959
Mailing Address27162 Golden Field CtMoreno Valley, CA 92555-4538 · (909) 251-2449 · Fax (909) 494-4208
Organization SubpartNo
Authorized OfficialFrederick LopezPsychologist · (909) 251-2449
Enumeration DateJanuary 21, 2022
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1306598297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1012 E COOLEY DR STE B2, Colton, CA 92324

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick Lopez Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Frederick Lopez LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1669671699
31573 RANCHO PUEBLO RD STE 200
Temecula, CA 92592
(858) 279-1223
✔ PECOS✔ Accepts Medicare41 mi

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

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 Frederick Lopez LLC's NPI number?

The NPI number for Frederick Lopez LLC is 1306598297. It was assigned to this organization in the NPPES registry on January 21, 2022.

Where is Frederick Lopez LLC located?

Frederick Lopez LLC is located at 1012 E Cooley Dr Ste B2, Colton, CA 92324. The listed phone number is (951) 567-1135.

What is Frederick Lopez LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Frederick Lopez LLC enrolled in Medicare?

Yes. Frederick Lopez LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frederick Lopez LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Frederick Lopez LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Lopez LLC was last updated on March 4, 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.