Elizabeth Tayde Lopez, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15585 Issued in CA

Practice address

5130 Riverside Dr
Chino, CA 91710-4130

Phone

(909) 590-7093

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356548200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19540 GREY FOX RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104130",
            "telephone_number": "909-590-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELIZABETH",
        "middle_name": "TAYDE",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aillette Lopez
• Amanda Nicole Lopez, OD
• Arlene Lopez
• Christine Lopez, NP-C
• Daniel Dominic Lopez, MFT
• Joel Lopez
• Marissa Lopez, LCSW
• Robert Lopez, M.D.
• Kelsey San Miguel Lor
• Teresa Louie, FNP-C

• Family Nurse Practitioner in Chino, CA
• Providers in Chino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.