Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlos Ivan Enciso Lopez, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1841866399

Carlos Ivan Enciso Lopez, MD is an Emergency Medicine in Stanford, California. Graduated from University of Washington School of Medicine in 2021, 5 years ago. Practices with Northern Michigan Emergency Physicians LLP, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
5
Trained at
University of Washington School of Medicine
Licensed in
CA, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-5948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1100 Veterans Blvd, Redwood City, CA 94063-2037 — (650) 299-2000
  • 3401 Ludington St, Escanaba, MI 49829-1300 — (906) 786-5707

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301512806 (MI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A203750 (CA)

Record details

NPI number1841866399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2021
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Northern Michigan Emergency Physicians Llp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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