Individual provider Active NPI

Elba Lopez

  • Metabolic Nutrition Registered Dietitian
  • Hanford, CA
National Provider Identifier
1255360848
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
10197 Issued in PR
Practice address
515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone
(844) 623-0999
NPI assigned
Jul 3, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1217 PR
Metabolic Nutrition Registered Dietitian 133VN1006X 10197 PR Primary

Addresses

Primary practice location

515 W Grangeville Blvd
Hanford, CA 93230-2861

Mailing address

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, CA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081212000150 PR Practitioner - Registered Dietitian Or Nutrition Professional 6901967611 Practice locations: Humacao, PR
I20240212003034 CA Practitioner - Registered Dietitian Or Nutrition Professional 6901967611 Reassigns benefits to 1 organization
I20260406000909 FL Practitioner - Registered Dietitian Or Nutrition Professional 6901967611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10197PRMDMetabolic Nutrition Registered Dietitian
1217PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
My Diabetes Tutor Inc CurrentSince Dec 28, 2023 Accepting new patients
Eastern Puerto Rico Diabetes Care Center Past Accepting new patients
Myriam Z Allende Vigo PSC Past Accepting new patients

Locations

515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1255360848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "844-623-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "844-623-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1217",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PR",
            "license": "10197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.