Marco Lopez, RDH
Individual provider Active NPI Dental Hygienist · Colusa, CA
NPI 1487582854 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1487582854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 36358 (CA)
- Practice address
- 360 5TH St
Colusa, CA 95932-2467 - Phone
- (530) 458-3614
- NPI assigned
- May 13, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36358 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colusa Indian Community Council | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 36358 | CA | Yes |
Addresses
Primary practice location
360 5TH St
Colusa, CA 95932-2467
Mailing address
360 5TH St
Colusa, CA 95932-2467
Phone (530) 458-3614
Other providers in Colusa, CA
- Pushpa Latta
- Lawrence M. Highman, M.D., Inc.
- Kelly Lawrence
- Le Tam MD PC
- Arlene Lopez-Valenzuela
- Maria Carmen Lopez
- Victor Lyapis
- Ivet Madrigal
- Sharon Maguire
- Yolanda Martinez de Sigala
All providers in Colusa, CA · Dental Hygienist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.