Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABRAHAM LOPEZ JR. MD
NPI 1447000856
Internal Medicine in San Diego, CA

Q: What is Abraham Lopez's NPI number?

The NPI number for Abraham Lopez is 1447000856. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Q: What is Abraham Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Abraham Lopez was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 March 26, 2024PECOS Enrolled

4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(619) 723-1355 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Abraham Lopez Jr. Md NPPES

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

ABRAHAM LOPEZ JR. MD (NPI 1447000856) is an individual internal medicine provider in San Diego, California, licensed in California (A205554) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1447000856

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameABRAHAM LOPEZ JR.Credential: MD

Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105

Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105

Phone(619) 723-1355

Sole ProprietorNo

Enumeration DateMarch 26, 2024

Last NPPES UpdateAugust 10, 2026

NPPES CertifiedAugust 10, 2026

✔ NPI 1447000856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A205554

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4077 FIFTH AVE # MER-35, San Diego, CA 92103

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Secondary Practice Location 1

Location 14094 4th AveSan Diego, CA 92103-2143 · Phone (616) 515-2545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abraham Lopez Jr. Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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.

DR. EMILY KOLYVAS MD, PHD

Student in an Organized Health Care Education/Training Program