MEDICARE: ALEJANDRO LOPEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		AZ
2	390200000X	Student in an Organized Health Care Education/Training Program		AZ

General Provider Information

NPI Number	:	1881546687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO LOPEZ

Provider Business Mailing Address
First Line	:	1425 E APOLLO RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-4446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 E APOLLO RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-4446
Country	:	US
Telephone Number	:	602-497-6492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1568885796 — MS. DOMINIQUE CAMPBELL
Practice Location Address:

1417 E APOLLO RD
PHOENIX, AZ
85042-4446

Practice Phone: 480-321-5631
Practice Fax:

1073199394 — COPPER SKY HOSPICE LLC
Practice Location Address:

7600 N 16TH ST STE 112
PHOENIX, AZ
85020-4446

Practice Phone: 602-830-0605
Practice Fax: 602-830-0630

1225032782 — DR. KEVIN GORDON JACKSON M.D.
Practice Location Address:

7600 N 16TH ST STE 112
PHOENIX, AZ
85020-4446

Practice Phone: 602-830-0605
Practice Fax:

1649317470 — JESSICA M RYDER PT
Practice Location Address:

4446 N 36TH ST , APT. 3
PHOENIX, AZ
85018-3554

Practice Phone: 302-377-3385
Practice Fax: 480-951-6464

1457501876 — DR. JOSEPH A GENTRY PH.D.
Practice Location Address:

7600 N 16TH ST STE 110
PHOENIX, AZ
85020-4446

Practice Phone: 602-368-3282
Practice Fax:

1265847172 — HALEY MYERS
Practice Location Address:

7600 N 16TH ST STE 110
PHOENIX, AZ
85020-4446

Practice Phone: 602-432-4495
Practice Fax:

Directions to “ ALEJANDRO LOPEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.