Active NPI
Juan Ulises Lopez Gonzalez, LVN
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1184514770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 750650
- Practice address
- 1310 M St
Fresno, CA 93721-1808 - Phone
- (559) 264-2700
- NPI assigned
- Jul 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 750650 | CA | Primary |
Addresses
Primary practice location
1310 M St
Fresno, CA 93721-1808
Mailing address
5127 E Liberty Ave
Fresno, CA 93727-5262
Phone (559) 813-4555
Other practice location 1
1235 E St
Fresno, CA 93706-2024
Phone (559) 844-1599
Other practice location 2
539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 272-6484
Other practice location 3
3103 E Cartwright Ave
Fresno, CA 93725-9385
Phone (559) 525-7692
Other practice location 4
1646 S Court St
Visalia, CA 93277-4962
Phone (559) 586-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750650 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1184514770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5127 E LIBERTY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937275262",
"telephone_number": "559-813-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 M ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211808",
"telephone_number": "559-264-2700"
}
],
"practiceLocations": [
{
"address_1": "1235 E St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937062024",
"country_code": "US",
"telephone_number": "559-844-1599",
"fax_number": "559-268-7518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "539 N Van Ness Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937283419",
"country_code": "US",
"telephone_number": "559-272-6484",
"fax_number": "559-498-0507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3103 E Cartwright Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937259385",
"country_code": "US",
"telephone_number": "559-525-7692",
"fax_number": "559-498-7111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1646 S Court St",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932774962",
"country_code": "US",
"telephone_number": "559-586-6767",
"fax_number": "559-733-5053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ GONZALEZ",
"first_name": "JUAN",
"middle_name": "ULISES",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-07",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "750650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.