| Dr Hector Jacobo Lopez, MD | |
|
1133 W Sycamore St, Willows, CA 95988-2601 | |
| (530) 934-1840 | |
| (530) 934-1829 |
| Full Name | Dr Hector Jacobo Lopez |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 1133 W Sycamore St, Willows, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255441515 | NPI | - | NPPES |
| 00A630520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A63052 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oroville Hospital | Oroville, CA | Hospital |
| Woodland Memorial Hospital | Woodland, CA | Hospital |
| Orchard Hospital | Gridley, CA | Hospital |
| Adventist Health And Rideout | Marysville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ampla Health | 5092619270 | 70 |
| Woodland Emergency Physicians Medical Group Inc | 8921176785 | 3 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Ampla Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116 |
| Entity Name | Woodland Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881868164 PECOS PAC ID: 8921176785 Enrollment ID: O20081007000014 |
| Entity Name | Eric L Ellis Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386118305 PECOS PAC ID: 9032458815 Enrollment ID: O20190222002332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hector Jacobo Lopez, MD Po Box 661972, Arcadia, CA 91066-1972 Ph: (626) 447-0296 | Dr Hector Jacobo Lopez, MD 1133 W Sycamore St, Willows, CA 95988-2601 Ph: (530) 934-1840 |
Dr. Andrew Benton Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-6980 Fax: 530-934-4081 | |
Jared Daniel Garrison, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-1816 Fax: 530-934-1991 | |
Haylie Coats, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4641 |