Individual provider Active NPI

Juan Ulises Lopez Gonzalez, LVN

  • Licensed Vocational Nurse
  • Fresno, CA
National Provider Identifier
1184514770
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
750650 Issued in CA
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

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
750650CAMDLicensed 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.

Verify at the official NPI Registry.