1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Podiatrist
  6. NPI Profile

KENNETH T. LOPEZ DPM
NPI 1962580530
Podiatrist in Santa Rosa, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 571-4000 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth T. Lopez Dpm NPPES

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

KENNETH T. LOPEZ DPM (NPI 1962580530) is an individual podiatrist in Santa Rosa, California, licensed in California (E4638) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1962580530
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameKENNETH T. LOPEZCredential: DPM
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(707) 571-4000
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2003
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 9, 2021
✔ NPI 1962580530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E4638
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403
Open in Google Maps ↗

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

Kenneth T. Lopez Dpm 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 ID8527256965
PECOS Enrollment IDI20101229000250
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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
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.

MS. JESSICA ANNE RUTLAND R.D.
Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4787
KURT FALKENBERG P.T.
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Sonoma County (707) 571-3352
DELILAH PATTERSON CRNA
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4616
KRISZTINA J. BALAZS MD
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
JOHN F. KUNKEL MD
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
CRISTINA COREY SCHROEN LCSW
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-2536
JIE GIOK RAHARDJA PHARMD
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4652
CONOR WILLIAM BOWMAN PHARM.D.
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (818) 522-1238

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 Kenneth Lopez's NPI number?

The NPI number for Kenneth Lopez is 1962580530. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kenneth Lopez located?

Kenneth Lopez practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4000.

What is Kenneth Lopez's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kenneth Lopez enrolled in Medicare?

Yes. Kenneth 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 Kenneth Lopez was last updated on December 9, 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.