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DR. BLAKE LOPEZ MD
NPI 1962908111
Emergency Medicine in La Mesa, CA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 465-0711 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2022, Feb 15, 2022 (2 updates tracked since 2022).

About Dr. Blake Lopez Md NPPES

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

DR. BLAKE LOPEZ MD (NPI 1962908111) is an individual emergency medicine provider in La Mesa, California, licensed in California (A177065) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962908111
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BLAKE LOPEZCredential: MD
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing Address50 W 90th St Apt 6bNew York, NY 10024-1564 · (619) 243-4901
Phone(619) 465-0711
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1962908111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A177065
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5555 GROSSMONT CENTER DR, La Mesa, CA 91942
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1630 W 168th StNew York, NY 10032-3725 · Phone (212) 305-2862
Location 2525 E 68th StNew York, NY 10065-4870 · Phone (212) 746-5454

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

Dr. Blake Lopez Md 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 ID5294073987
PECOS Enrollment IDI20240109003159
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
144 services140 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
47 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290046
Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County
Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

ALHELI BAILY
Registered Nurse
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
MISS APRIL JULIA CROMIE PMHNP-BC, APRN, MSN
Nurse Practitioner (Psychiatric/Mental Health)
5555 GROSSMONT CENTER DR, 5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (858) 296-6182
TEAGAN SHEA COLEMAN
Registered Nurse (Emergency)
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
BRENDAN J LEE DO
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 644-4401
PAUL Y ABOU MD
Internal Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 465-0711
MRS. AMY ELIZABETH VU P.A.-C
Physician Assistant
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
CHRISTA ANN LANDOWSKA AREFIEVA MD
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
TYLER QUOC NGUYEN
Pharmacist
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000

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 Blake Lopez's NPI number?

The NPI number for Blake Lopez is 1962908111. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Blake Lopez located?

Blake Lopez practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 465-0711.

What is Blake Lopez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Blake Lopez enrolled in Medicare?

Yes. Blake 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.

Is Blake Lopez affiliated with any hospitals?

According to CMS data, Blake Lopez is affiliated with Valley Hospital Medical Center, Spring Valley Hospital Medical Center and Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Blake Lopez was last updated on April 4, 2022. 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.