| Mario Alberto Lopez, PA-C | |
|
8788 Jamacha Rd, Spring Valley, CA 91977-4035 | |
| (619) 515-2555 | |
| Not Available |
| Full Name | Mario Alberto Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 8788 Jamacha Rd, Spring Valley, 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 |
|---|---|---|---|
| 1932335080 | NPI | - | NPPES |
| W5352 | Other | CA | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA21385 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Centers Of San Diego Inc | 3476446378 | 299 |
| Entity Name | Family Health Centers of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | San Diego Neurotrauma Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780822213 PECOS PAC ID: 0648318261 Enrollment ID: O20091118000542 |
| 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 |
Zachary Hannigan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8921 Arlingdale Way, Spring Valley, CA 91977 Phone: 619-715-5607 |
Jean Cassandra Blas Aguilar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10024 Eubank Ln, Spring Valley, CA 91977 Phone: 951-465-0416 |
Carl Eugene Petty, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2962 Elm Tree Ct, Spring Valley, CA 91978 Phone: 619-200-9105 |
Nicholas Quy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10225 Austin Dr Ste 104, Spring Valley, CA 91978 Phone: 213-213-5580 |
Kerwin Rommel Murillo Perez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2555 |