Mario Alberto Lopez, PA-C is a medicare enrolled "Physician Assistant - Medical" in Spring Valley, California. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Family Health Centers Of San Diego Inc and his current practice location is
8788 Jamacha Rd, Spring Valley, California. You can reach out to his office (for appointments etc.) via phone at
(619) 515-2555.
Mario Alberto Lopez is licensed to practice in California (license number PA21385) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932335080.
Provider's Profile
| Full Name | Mario Alberto Lopez |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 8788 Jamacha Rd, Spring Valley, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mario Alberto Lopez graduated from nursing school in 2008
NPI Data:
- NPI Number: 1932335080
- Provider Enumeration Date: 06/03/2009
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810035219
- Enrollment ID: I20110526000310
Medical Identifiers
Medical identifiers for Mario Alberto Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932335080 | NPI | - | NPPES |
| W5352 | Other | CA | UPIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA21385 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Health Centers Of San Diego Inc | 3476446378 | 233 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario Alberto Lopez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mario Alberto Lopez, PA-C
823 Gateway Center Way,
San Diego, CA 92102-4541
Ph: (619) 515-2300 | Mario Alberto Lopez, PA-C
8788 Jamacha Rd,
Spring Valley, CA 91977-4035
Ph: (619) 515-2555 |
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