JUAN-DAVID NINO-LOPEZ NP
NPI 1386307569
Nurse Practitioner - Family in Oakland, CA

Active since October 15, 2021PECOS EnrolledAccepts Medicare Assignment
154 FRISBIE ST APT 1, OAKLAND, CA 94611(530) 219-0352 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Oct 20, 2021, Oct 15, 2021 (3 updates tracked since 2021).

About Juan-david Nino-lopez Np NPPES

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

JUAN-DAVID NINO-LOPEZ NP (NPI 1386307569) is an individual family provider in Oakland, California, licensed in California (95018808) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386307569
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUAN-DAVID NINO-LOPEZCredential: NP
Location Address154 FRISBIE ST APT 1Oakland, CA 94611-5831
Mailing Address154 Frisbie St Apt 1Oakland, CA 94611-5831 · (530) 219-0352
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 15, 2021
Last NPPES UpdateNovember 4, 20213 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1386307569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95018808
154 FRISBIE ST APT 1, Oakland, CA 94611

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Juan-david Nino-lopez Np 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 ID749647659
PECOS Enrollment IDI20230608001681
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
402 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Juan-david Nino-lopez's NPI number?

The NPI number for Juan-david Nino-lopez is 1386307569. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Juan-david Nino-lopez located?

Juan-david Nino-lopez practices at 154 Frisbie St Apt 1, Oakland, CA 94611. The listed phone number is (530) 219-0352.

What is Juan-david Nino-lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Juan-david Nino-lopez enrolled in Medicare?

Yes. Juan-david Nino-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.

When was this NPI record last updated?

The NPPES record for Juan-david Nino-lopez was last updated on November 4, 2021. 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.