NIDIA LOPEZ (NPI# 1770549750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770549750 |
| Entity Type | Individual |
| Full Name | NIDIA LOPEZ |
| Credential | PA |
| Practice Address |
1901 Grandview Ave El Paso TX 79902-5113 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9155446750 |
| Practice Fax Number | 9155324259 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340819 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04792 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 205265608 | 05 | |
| TX | 204427301 | 05 | |
| TX | BCBS | 809N07 | 01 |
| TX | BCBS | 830N22 | 01 |
| TX | RAILROAD MEDICARE | P00889868 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3270 Joe Battle Blvd Ste 312, El Paso, TX 799382651 | 9158492700 | 9158494255 |
| 7848 Gateway East, El Paso, TX 79915 | 9155991313 | 9155991701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124484167 | Nidia Lopez | Licensed Vocational Nurse | 5425 Pomona Blvd, Los Angeles, CA 90022-1716 | 2016-01-06 |
| Street Address |
1901 GRANDVIEW AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863408 | Ines Joan Sanchez-rivera | Specialist | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2005-07-07 |
| 1902244536 | Tripti Shrivastava | Genetic Counselor, MS | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2013-06-05 |
| 1790003077 | Sheeba Varughese Tano | Internal Medicine | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2010-05-11 |
| 1609038546 | Christine Diane Kane | Nurse Practitioner | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2008-07-01 |
| 1073673844 | Martha Wallace Castillo | Pharmacist | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2006-12-11 |
| 1720024201 | Oncology Pharmacy Services, Inc | Durable Medical Equipment & Medical Supplies | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2006-06-21 |
| 1487696498 | Ira Andrew Horowitz | Radiology | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2006-06-12 |
| 1811939721 | Anuradha Gupta | Radiology | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2006-06-12 |
| 1770524456 | Fred N. Ekery | Internal Medicine | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2006-06-10 |
| 1275570004 | Ragene Ruth Rivera | Internal Medicine | 1901 Grandview Ave, El Paso, TX 79902-5113 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371791 | Miriam Leticia Munoz | Physician Assistant | 646 Mike Carbajal Rd, El Paso, TX 79927-2149 | 2020-09-22 |
| 1184264541 | Rodrigo Carrasco | Physician Assistant | 7560 Wolf Creek Dr, El Paso, TX 79911-3143 | 2020-01-13 |
| 1134764558 | Andrea Pilar Stam | Physician Assistant | 5005 N. Piedras Street; Attn, Wbamc, El Paso, TX 79920-5001 | 2019-11-08 |
| 1326680786 | Lori Evelyn Berumen | Physician Assistant | 7100 Westwind Dr Ste 120, El Paso, TX 79912-1757 | 2019-10-17 |
| 1609437946 | Ruben Andy Medina | Physician Assistant | 179 Vinson Way, El Paso, TX 79915-4227 | 2019-06-26 |
| 1790344331 | Alexandra Apodaca | Physician Assistant | 1641 Bessemer Dr, El Paso, TX 79936-5226 | 2019-06-07 |
| 1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
| 1023586211 | Erica Guerrero | Physician Assistant | 4801 Alberta Ave Ste B-3200, El Paso, TX 79905-2707 | 2018-11-06 |
| 1366919391 | Jeffrey Aaron Hobbs | Physician Assistant | 5005 N. Piedras Street, Attn;, Wbamc, El Paso, TX 79920-5001 | 2018-10-29 |
| 1720580764 | Sungil Hwang | Physician Assistant | 11200 Sean Haggerty Dr Apt 18208, El Paso, TX 79934-3386 | 2018-03-06 |
| Find all providers in EL PASO | ||||
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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.