Lissete Lopez, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

95381531 Issued in CA

Practice address

4951 Arroyo Rd BLDG 62
Livermore, CA 94550-9650

Phone

(925) 373-4700

NPI assigned

May 5, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1205625332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 ARROYO RD BLDG 62",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945509650",
            "telephone_number": "925-373-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 ARROYO RD BLDG 62",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945509650",
            "telephone_number": "925-373-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LISSETE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "95381531",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95381531",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95381531",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "95381531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Michelle Long
• Longs Drug Stores California LLC
• Longs Drug Stores California LLC
• Lopez and Lambridis Dental Corporation
• Estefany Lopez
• Michael Lopez, DDS
• Senaida Marie Lopez, CADC-II
• Jennifer M Lord, MFT
• Loren W. Kihlstrom, D.D.S., Inc.
• Lori Ross Tijerino DDS Inc.

• Ambulatory Care Registered Nurse in Livermore, CA
• Providers in Livermore, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.