Active NPI
Del Cordova Lopez, LVN
- Licensed Vocational Nurse
- Pasadena, CA
National Provider Identifier
1285163824
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 19, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 241088
- Practice address
- 36 S Kinneloa Ave
Pasadena, CA 91706 - Phone
- (626) 844-3033
- Fax
- (626) 844-3034
- NPI assigned
- Jun 7, 2017
- 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 | 241088 | CA | Primary |
Addresses
Primary practice location
36 S Kinneloa Ave
Pasadena, CA 91706
Mailing address
36 S Kinneloa Ave
Pasadena, CA 91107-3853
Phone (626) 844-3033
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241088 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285163824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 S KINNELOA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073853",
"telephone_number": "626-844-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 S KINNELOA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "91706",
"telephone_number": "626-844-3033",
"fax_number": "626-844-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DEL",
"middle_name": "CORDOVA",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "241088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.