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MR. NOE LOPEZ FNP
NPI 1962936930
Nurse Practitioner - Family in Fontana, CA

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
16839 RAMONA AVE STE 401, FONTANA, CA 92336(909) 429-2864 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Dec 3, 2019, Apr 17, 2017 (3 updates tracked since 2017).

About Mr. Noe Lopez Fnp NPPES

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

MR. NOE LOPEZ FNP (NPI 1962936930) is an individual family provider in Fontana, California, licensed in California (95013248) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962936930
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. NOE LOPEZCredential: FNP
Location Address16839 RAMONA AVE STE 401Fontana, CA 92336-2014
Mailing Address16839 Ramona Ave Ste 401Fontana, CA 92336-2014 · (909) 429-2864
Phone(909) 429-2864
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 17, 2017
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2022
✔ NPI 1962936930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95013248
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 610082 (CA)
16839 RAMONA AVE STE 401, Fontana, CA 92336
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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. Noe Lopez Fnp 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 ID3274920160
PECOS Enrollment IDI20220422002011
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 92336 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

DR. JESSE SERRANO DOMINGUEZ D.O.
Family Medicine
16839 RAMONA AVE STE 401
FONTANA, CA 92336
San Bernardino County (909) 429-2864
CONCESA MARGARITA RUIZ RAMIREZ FNP-C
Nurse Practitioner (Family)
16839 RAMONA AVE STE 401
FONTANA, CA 92336
San Bernardino County (909) 429-2864

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 Noe Lopez's NPI number?

The NPI number for Noe Lopez is 1962936930. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Noe Lopez located?

Noe Lopez practices at 16839 Ramona Ave Ste 401, Fontana, CA 92336. The listed phone number is (909) 429-2864.

What is Noe Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Noe Lopez enrolled in Medicare?

Yes. Noe 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 Noe Lopez was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.