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

Mr. Gabriel Thomas Lopez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659846988

Mr. Gabriel Thomas Lopez is a Physician Assistant in Glendale, Arizona. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2019, 7 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

7419 W Planada Ln
Glendale, AZ 85310-5886
Phone: (602) 571-3364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7939 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659846988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 13, 2018
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address7419 W Planada Ln, Glendale, AZ 85310-5886

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2019 (7 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glendale