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

Ricardo Lopez, PA

Individual provider Physician Assistant · NPI 1720739568

Ricardo Lopez, PA is a Physician Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

550 W Baseline Rd Ste 102-435
Mesa, AZ 85210-6040
Phone: (323) 487-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9526 (AZ)

Record details

NPI number1720739568
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 20, 2024
Certification dateJanuary 20, 2024

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