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DR. JOSE ALBERTO LOPEZ PH.D.
NPI 1659417483
Psychologist - Clinical Child & Adolescent in Oakland, CA

Active since January 29, 2007PECOS Enrolled
280 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-1458(510) 752-1404 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2021, Aug 14, 2018 (2 updates tracked since 2018).

About Dr. Jose Alberto Lopez Ph.d. NPPES

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

DR. JOSE ALBERTO LOPEZ PH.D. (NPI 1659417483) is an individual clinical child & adolescent provider in Oakland, California, licensed in California (14168) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1659417483
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JOSE ALBERTO LOPEZCredential: PH.D.
Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642
Mailing Address1109 Lafayette StAlameda, CA 94501-4122 · (510) 220-5040
Phone(510) 752-1458
Fax(510) 752-1404
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
✔ NPI 1659417483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · 14168
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
280 W MACARTHUR BLVD, Oakland, CA 94611
Open in Google Maps ↗

Secondary Practice Location 1

Location 11109 Lafayette StAlameda, CA 94501-4122 · Phone (510) 220-5040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Alberto Lopez Ph.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 Reassignment

Medicare enrollment records show Jose Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.6 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

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.

JESSICA CHANG PHARM.D., APH
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-8859
NORMA MIYEKO MARUBAYASHI HOLLOWAY PHARMD
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6468
DIANA HIROS CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
IVY I. YU MD
Obstetrics & Gynecology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
THERESE M. HICKEY MD
Anesthesiology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
JOHN L. JONES MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNETTE CHENEVEY CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
MRS. MICHELE NG PHARM.D.
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6141

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 Jose Lopez's NPI number?

The NPI number for Jose Lopez is 1659417483. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Jose Lopez located?

Jose Lopez practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-1458.

What is Jose Lopez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jose Lopez enrolled in Medicare?

Yes. Jose Lopez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Lopez reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Jose Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on December 30, 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.