Organization Active NPI

Ofelia Lopez Williams Certified Nurse Practitioner Inc

  • Family Nurse Practitioner
  • Indio, CA
National Provider Identifier
1154474989
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP950 Issued in CA
Legal business name
OFELIA LOPEZ WILLIAMS CERTIFIED NURSE PRACTITIONER INC
Practice address
82013 Doctor Carreon Blvd
Suite M
Indio, CA 92201-5832
Phone
(760) 342-4242
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mrs. Ofelia Lopez Williams, FNP
Title
President
Phone
(760) 342-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP950 CA Primary

Addresses

Primary practice location

82013 Doctor Carreon Blvd
Suite M
Indio, CA 92201-5832

Mailing address

82013 Doctor Carreon Blvd
Suite M
Indio, CA 92201-5832
Phone (760) 342-4242

Other identifiers 1

IdentifierTypeStateIssuer
NP0009500MedicaidCA

National Provider Directory

National Provider Directory

Locations

82013 Doctor Carreon Blvd
Ste M
Indio, CA 92201
Phone (760) 342-4242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1154474989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82013 DOCTOR CARREON BLVD",
            "address_2": "SUITE M",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "760-342-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DOCTOR CARREON BLVD",
            "address_2": "SUITE M",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "760-342-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFELIA LOPEZ WILLIAMS CERTIFIED NURSE PRACTITIONER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ WILLIAMS",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-342-4242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0009500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.