Darlyn Grace Bano Lopez, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95016283 Issued in CA

Practice address

187 E Wilbur Rd Ste 101
Thousand Oaks, CA 91360-5572

Phone

(805) 328-7173

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1492/brand/2/csg/21/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McBean Enterprises Incorporated

  • Community Based Hospice Care Agency
  • Granada Hills, CA
  • NPI 1447534979
  NPD
• McBean Enterprises Incorporated

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1528235306
  NPD
• Cornerstone Healthcare Solutions Inc

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1548651961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1033705496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 NOBLE RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655339",
            "telephone_number": "805-328-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-328-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DARLYN GRACE",
        "middle_name": "BANO",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longs Drug Stores California LLC
• Innokenty Loon
• Andrea Ciampolini Lopasso, DPT
• Mary Janett Lopez-Inayama, LCSW
• Adolfo Lopez, L.AC.
• Hugo Marcelo Lopez
• Jasmin Lopez
• Sonia M Lopez, FNP-C
• Morgan E Lopker, PT, DPT
• Raelynne Spracklen Lorenz, M.A., CCC-SLP

• Family Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.