MARIO ALBERTO LOPEZ PA-C
NPI 1932335080
Physician Assistant - Medical in Spring Valley, CA

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment
8788 JAMACHA RD, SPRING VALLEY, CA 91977(619) 515-2555 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 17, 2018, Nov 22, 2017 (2 updates tracked since 2017).

About Mario Alberto Lopez Pa-c NPPES

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

MARIO ALBERTO LOPEZ PA-C (NPI 1932335080) is an individual medical provider in Spring Valley, California, licensed in California (PA21385) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932335080
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARIO ALBERTO LOPEZCredential: PA-C
Location Address8788 JAMACHA RDSpring Valley, CA 91977-4035
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 906-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 3, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1932335080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA21385
8788 JAMACHA RD, Spring Valley, CA 91977

Secondary Practice Locations 3

Location 12325 Commercial St Ste 1400San Diego, CA 92113-1195 · Phone (619) 515-2422
Location 2823 Gateway Center WaySan Diego, CA 92102-4541 · Phone (619) 515-2300 · Fax (619) 906-4564
Location 31250 6th AveSan Diego, CA 92101-4300 · Phone (619) 515-2430

Other Identifiers 1

OtherW5352CA · Upin

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

Mario Alberto 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 ID7810035219
PECOS Enrollment IDI20110526000310
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims24 services$6.69 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Marriage & Family Therapist
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Health Maintenance Organization
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Social Worker (Clinical)
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Counselor (Addiction (Substance Use Disorder))
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Marriage & Family Therapist
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Family Medicine
8788 JAMACHA RD
SPRING VALLEY, CA 91977
Counselor
8788 JAMACHA RD
SPRING VALLEY, CA 91977

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 Mario Lopez's NPI number?

The NPI number for Mario Lopez is 1932335080. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Mario Lopez located?

Mario Lopez practices at 8788 Jamacha Rd, Spring Valley, CA 91977. The listed phone number is (619) 515-2555.

What is Mario Lopez's specialty?

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

Is Mario Lopez enrolled in Medicare?

Yes. Mario 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 Mario Lopez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.