WENDY LOPEZ (NPI# 1124483474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124483474 |
| Entity Type | Individual |
| Full Name | WENDY LOPEZ |
| Practice Address |
210 S De Lacey Ave Ste 110 Pasadena CA 91105-2074 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2019-11-13 |
| NPI Deactivation Date | 11/01/2019 |
| NPI Reactivation Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114323672 | Wendy Lopez | Dietitian, Registered | 1005 E 174th St Apt 10b, Bronx, NY 10460-5211 | 2014-11-11 |
| 1528352960 | Wendy Lopez | Nurse Practitioner | 700 North Sam Houston, Houston, TX 77067-4338 | 2011-06-02 |
| 1548804917 | Wendy Michelle Lopez | Rehabilitation Practitioner | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2019-10-29 |
| 1649824442 | Wendy Y Lopez | Optometrist | 8202 N Loop 1604 W Ste 105, San Antonio, TX 78249-2898 | 2019-07-30 |
| 1235598665 | Wendy Lopez | Occupational Therapist | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2016-02-13 |
| 1588042428 | Wendy Lopez | Counselor | 350 E 11th Ave, Eugene, OR 97401-3246 | 2015-05-12 |
| Street Address |
210 S DE LACEY AVE STE 110 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467582692 | Noemi Cristina Harnen | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2007-03-06 |
| 1003314204 | Thomas Mackey | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2018-01-23 |
| 1013424928 | Tal Medovoy | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2018-01-02 |
| 1477069771 | Naomi Choi | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-12-21 |
| 1861908436 | Abel Torres | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-12-19 |
| 1134633431 | Christopher Monroy | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-22 |
| 1255845897 | Tatiana Ewing | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-17 |
| 1619480662 | Stephanie Bobadilla | Social Worker | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-13 |
| 1982117198 | Vickie Joan Wagner | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-09 |
| 1225540271 | Mariah Gabriella Dillard | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1659906469 | Danielle Elisa Cook | Student in an Organized Health Care Education/Training Program | 1370 Old Water Oak Point Rd, Pasadena, MD 21122-2300 | 2020-03-12 |
| 1750933511 | Andrew Long | Student in an Organized Health Care Education/Training Program | 1632 Concordia Dr, Pasadena, MD 21122-6008 | 2019-07-11 |
| 1336791375 | Jianyin Li | Student in an Organized Health Care Education/Training Program | 100 W Wanut Street Suite 375, Pasadena, CA 91124-0001 | 2019-07-10 |
| 1669034039 | Mai Nojima | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2019-07-05 |
| 1912569997 | Katelyn Marie George | Student in an Organized Health Care Education/Training Program | 8028 Ritchie Hwy Ste 120, Pasadena, MD 21122-1069 | 2019-07-01 |
| 1427534767 | Susanna Sackitey | Student in an Organized Health Care Education/Training Program | 280 S Euclid Ave Apt 102, Pasadena, CA 91101-2760 | 2018-07-18 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.