MR. RAYMOND LOPEZ (PA) – Physician Assistant, NPI 1851340681
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. RAYMOND LOPEZ (PA)
25455 BARTON RD STE 204B
LOMA LINDA, CA 923543130
Phone: (909) 558-6600
Type: Location
FILE # 54701
LOS ANGELES, CA 900744701
Phone: (909) 651-4300
Type: Mailing
795, East 2nd Street, Pomona, Los Angeles County, California, 91766, United States
SUITE 5
POMONA, CA 917662007
Phone: (909) 865-2565
Fax: (909) 865-2955
Type: Mailing
Haven Avenue, Rancho Cucamonga, San Bernardino County, California, 91737, United States
SUITE 200
RANCHO CUCAMONGA, CA 917309110
Phone: (909) 706-3950
Fax: (909) 257-2300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-08-18 • Largest payer in this snapshot: Boston Scientific Corporation ($45).
Total Amount
$45
General + Research + Ownership
Payments
1
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $45 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040709001400 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 57 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| Psychiatry, Geriatric Psychiatry, Neuropsychiatry | CA | |
| Osteopathic Manipulative Medicine | CA | |
| Rheumatology, Internal Medicine | CA |
Reviews
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