Individual provider Active NPI

Maria R Guillen Lopez

  • Licensed Vocational Nurse
  • Santa Ana, CA
National Provider Identifier
1407476476
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
291261 Issued in CA
Practice address
819 E 2ND St Apt a
Santa Ana, CA 92701-4924
Phone
(714) 605-1109
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 291261 CA Primary

Addresses

Primary practice location

819 E 2ND St Apt a
Santa Ana, CA 92701-4924

Mailing address

819 E 2ND St Apt a
Santa Ana, CA 92701-4924

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mglopez@prototypes.org
Direct Messaging Address mglopez@prototypes.org
Direct Messaging Address mglopez@prototypes.org

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

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1407476476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 E 2ND ST APT A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E 2ND ST APT A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014924",
            "telephone_number": "714-605-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN LOPEZ",
        "first_name": "MARIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "291261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mglopez@prototypes.org",
            "affiliation": "N",
            "address_1": "819 E 2nd St Apt A",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mglopez@prototypes.org",
            "affiliation": "N",
            "address_1": "819 E 2nd St Apt A",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mglopez@prototypes.org",
            "affiliation": "N",
            "address_1": "819 E 2nd St Apt A",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.