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

Rafael Eduardo Lopez Chicas

Individual provider Nurse Practitioner · NPI 1508715426

Rafael Eduardo Lopez Chicas is a Nurse Practitioner in Los Angeles, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
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Practice location Address checks out

200 Medical Plz Ste B265
Los Angeles, CA 90095-0001
Phone: (818) 581-5550
Fax: (818) 581-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1223 16th St Ste 1100, Santa Monica, CA 90404-1217 — (424) 259-8777

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95038297 (CA)

Record details

NPI number1508715426
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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