P Praxis·MD
● Active Type 1 · Individual

J. Antonio G Lopez, M.D.

Internal Medicine·Boise, ID· NPI 1326011503 · Enumerated 2006 · 20 years on NPI
Lopez is 1 of 28 internal medicine providers in Boise and 1 of 100 in Idaho.
NPI age
20 years
Enumerated 2006-02-09
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-08-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 100 active internal medicine providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 69% — 31% of peers are multi-state
Subspecialties
0
47% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
6140 W Curtisian Ave, Suite 200
Boise, ID 837040107
📞 2083674278fax 2083675200
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083675170fax 2083675180

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    ID license #M-9898CA license #G56032 taxonomy 207RC0000X

Identifiers

TypeValueNotes
05 (CA) 00G560320
01 (CA) P00208355 RAILROAD MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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