SHAGHAYEGH LOPEZ
NPI 1427335900
Marriage & Family Therapist in Santa Rosa, CA
About Shaghayegh Lopez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAGHAYEGH LOPEZ (NPI 1427335900) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (89837) and active in the NPI registry since November 2011. She has opted out of Medicare through January 24, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shaghayegh Lopez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 24, 2024 through January 24, 2028.
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.
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
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 Shaghayegh Lopez's NPI number?
The NPI number for Shaghayegh Lopez is 1427335900. It was assigned to this individual provider in the NPPES registry on November 10, 2011. The provider is also known as Shauna Takeshi.
Where is Shaghayegh Lopez located?
Shaghayegh Lopez practices at 3650 Standish Ave, Santa Rosa, CA 95407. The listed phone number is (707) 585-6108.
What is Shaghayegh Lopez's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Shaghayegh Lopez enrolled in Medicare?
No. Shaghayegh Lopez has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Shaghayegh Lopez was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Shaghayegh Lopez · NPI 1427335900
Marriage & Family Therapist provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since November 10, 2011.
## Identity
- **NPI:** 1427335900 (Entity type: Individual)
- **Enumerated:** November 10, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 89837 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3650 STANDISH AVE, Santa Rosa, CA 95407-8113
- **Phone:** (707) 585-6108
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 24, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1427335900) · Data from the CMS NPPES public registry.