Alberto Acevesl Lopez, F.N.P
Individual provider Active NPI Family Nurse Practitioner · Calipatria, CA
NPI 1013109693 · NPPES record last updated Aug 16, 2007
Key facts
- NPI
- 1013109693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN469417 NP14065 (CA)
- Practice address
- 7018 Blair Rd
Calipatria, CA 92233-9633 - Phone
- (760) 348-7000
- Fax
- (760) 348-6032
- NPI assigned
- Aug 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN469417 NP14065 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN469417 NP14065 | CA | Yes |
Addresses
Primary practice location
7018 Blair Rd
Calipatria, CA 92233-9633
Mailing address
678 Sagebrush St
Imperial, CA 92251-8920
Phone (760) 562-7739
Other providers in Calipatria, CA
- Robert K Hull
- Barayah Israel
- Stephanie Laurean
- Ivan Paul Leal
- Martin E. Levin
- Ashley Marie Martinez
- Jaime A Martinez
- David Franklin Middleton
- Shahida Naz
- Sopuruchi Maryanne Obialasor
All providers in Calipatria, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.