Individual provider

Andrea Lopez, D.O.

Student in an Organized Health Care Education/Training Program Child & Adolescent Psychiatry Physician

Andrea Lopez, D.O. is a provider specialising in Student in an Organized Health Care Education/Training Program in Loma Linda, CA, registered under NPI 1104576909. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 11234 ANDERSON ST BLDG SUITEC, Loma Linda, CA 92350. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11234 ANDERSON ST BLDG SUITEC, Loma Linda, CA 92350 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
20A22120 CA Child & Adolescent Psychiatry Physician

This provider holds licence 20A22120 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Student in an Organized Health Care Education/Training Program covers

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. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program CA primary
2084P0804X Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry 20A22120 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104576909 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 24, 2022
Last updatedMay 5, 2025
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 11234 ANDERSON ST BLDG SUITEC
Loma Linda, CA 92350
(909) 558-9532
Mailing address 10935 TERRA VISTA PKWY APT 103
Rancho Cucamonga, CA 91730
This record was updated on May 5, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104576909 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 5 7 6 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 1 7 3 9 0

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104576909?
NPI 1104576909 is the National Provider Identifier assigned to Andrea Lopez, D.O. in Loma Linda, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
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.
How do I contact Andrea Lopez, D.O.?
The phone number on file with NPPES is (909) 558-9532, last updated May 5, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104576909 a valid number?
Yes. 1104576909 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.