MR. DANIEL C LOPEZ PA-C
NPI 1730113101
Physician Assistant - Medical in Riverside, CA

Q: What is Daniel Lopez's NPI number?

The NPI number for Daniel Lopez is 1730113101. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Daniel Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Lopez was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

6276 RIVER CREST DR, RIVERSIDE, CA 92507(951) 413-0964(951) 653-5161 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Daniel C Lopez Pa-c NPPES

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

MR. DANIEL C LOPEZ PA-C (NPI 1730113101) is an individual medical provider in Riverside, California, licensed in California (PA14440) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1730113101

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DANIEL C LOPEZCredential: PA-C

Location Address6276 RIVER CREST DRRiverside, CA 92507-0783

Mailing Address3551 Larchwood PlRiverside, CA 92506-1237

Phone(951) 413-0964

Fax(951) 653-5161

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 13, 2021

✔ NPI 1730113101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA14440

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA14440 (CA)

6276 RIVER CREST DR, Riverside, CA 92507

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Other Identifiers 2

MedicaidGR0086790CA

Medicaid0PA144400CA

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

Mr. Daniel C Lopez Pa-c 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 ID9335116433

PECOS Enrollment IDI20040916000445

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.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAIDER SPINE CENTER MEDICAL GROUP INC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)