Benjamin Jordan Lopez-Galvan, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

95037759 Issued in CA

Practice address

1860 Walnut St Ste a
Red Bluff, CA 96080-3611

Phone

(530) 528-3204

Fax

(530) 527-0240

NPI assigned

Jan 19, 2015

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• County of Tehama

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bluff, CA
  • NPI 1467668616
  NPD (past)
• Tehama County

  • Community/Behavioral Health Agency
  • Red Bluff, CA
  • NPI 1982810107
  NPD (past)

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1083003792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960800400",
            "telephone_number": "530-528-3204",
            "fax_number": "530-527-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WALNUT ST STE A",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803611",
            "telephone_number": "530-528-3204",
            "fax_number": "530-527-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-GALVAN",
        "first_name": "BENJAMIN",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95037759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live for Yourself Foundation
• Gail L. Locke, R.D.
• Margo Logan, RN
• Longs Drug Stores California LLC
• Enrique Alejandro Lopez Hernandez
• Jennifer Marie Lopez
• Mitzi Lopiccolo, PPS
• Taylor Lorenzini, NURSE PRACTITIONER
• Maria Arendina Los, RN
• Neil Andrew Louwrens, M.D.

• Adult Psychiatric/Mental Health Registered Nurse in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.