Active NPI
Shelli Ann Lopez
- Day Training/Habilitation Specialist
- Long Beach, CA
National Provider Identifier
1326528704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 324 E Bixby Rd
Long Beach, CA 90807-3432 - Phone
- (562) 595-8111
- NPI assigned
- Aug 15, 2018
- Reactivated
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | ||
| Peer Specialist | 175T00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
324 E Bixby Rd
Long Beach, CA 90807-3432
Mailing address
324 E Bixby Rd
Long Beach, CA 90807-3432
Phone (562) 595-8111
Other practice location 1
Enki Health & Research Systems Inc.
1000 Goodrich Blvd.
Commerce, CA 90022
Phone (323) 832-9795
Other practice location 2
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Phone (323) 751-3026
Other names 1
- Shelli Ann Hernandez
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kedren Community Mental Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1134336811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1326528704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E BIXBY RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073432",
"telephone_number": "562-595-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E BIXBY RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073432",
"telephone_number": "562-595-8111"
}
],
"practiceLocations": [
{
"address_1": "Enki Health & Research Systems Inc.",
"address_2": "1000 Goodrich Blvd.",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "90022",
"country_code": "US",
"telephone_number": "323-832-9795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8836 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900444832",
"country_code": "US",
"telephone_number": "323-751-3026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "SHELLI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"deactivation_date": "2022-08-15",
"reactivation_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLI",
"last_name": "HERNANDEZ",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.