Dr. Blake Lopez, MD
Dr. Blake Lopez, MD is an Emergency Medicine in LA Mesa, California. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Shadow Emergency Physicians PLLC, a 109-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
LA Mesa, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 630 W 168th St, New York, NY 10032-3725 — (212) 305-2862
- 525 E 68th St, New York, NY 10065-4870 — (212) 746-5454
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence A177065 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1962908111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 4, 2018 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | March 10, 2022 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Shadow Emergency Physicians Pllc — 109 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in LA Mesa
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Lovepreet Kaur, PA-C
Student / training record LA Mesa, CA
-
Michael Khanjyan
Student / training record LA Mesa, CA
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Sofia Klar
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Dr. Valentin A. Lance, MD
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Jennifer Maravola
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Satenik Melkonyan
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Mariam Mostamand, MD
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Kimberly Nguyen, MD
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