DR. BLAKE LOPEZ MD
NPI 1962908111
Emergency Medicine in La Mesa, CA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Blake Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Blake Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Henderson, NV 89011
- Reassigned Medicare billing, Nevada enrollment
- 62 clinicians in this Medicare group
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- 197 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NVSpring Valley Hospital Medical Center
Acute Care Hospitals · Las Vegas, NVHenderson Hospital
Acute Care Hospitals · Henderson, NVPhysician 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.
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.
LA MESA, CA 91942
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 enrollment system.
Which organizations bill Medicare for Blake Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Lopez reassigns Medicare benefits to 3 organizations: Irv Edwards MD PC (Henderson, NV), Emergency Physicians Associates San Jose PC (San Jose, CA) and Team Physicians Of Northern California Medical Group Inc (Pleasanton, CA). Each 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 Blake Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Blake Lopez, MD · NPI 1962908111
Emergency Medicine physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since April 4, 2018.
## Identity
- **NPI:** 1962908111 (Entity type: Individual)
- **Enumerated:** April 4, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A177065 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 465-0711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Irv Edwards MD PC (NPI 1013884352, Henderson, NV); Emergency Physicians Associates San Jose PC (NPI 1306311576, San Jose, CA); Team Physicians Of Northern California Medical Group Inc (NPI 1649692716, Pleasanton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2018
## Record status
- **NPPES last updated:** April 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962908111) · Data from the CMS NPPES public registry.