Individual provider Active NPI

Alejandra Berenice Jara Lopez

  • Licensed Vocational Nurse
  • Oxnard, CA
National Provider Identifier
1508519703
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
70122 Issued in CA
Practice address
2055 Savies Road
Oxnard, CA 93033
Phone
(805) 483-9825
Fax
(805) 483-2255
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 70122 CA Primary

Addresses

Primary practice location

2055 Savies Road
Oxnard, CA 93033

Mailing address

2055 Saviers Rd
Oxnard, CA 93033-3608
Phone (805) 483-9825

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

State licenses

LicenseStateTypeSpecialty
70122CAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1508519703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SAVIERS RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333608",
            "telephone_number": "805-483-9825",
            "fax_number": "805-843-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 SAVIES ROAD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93033",
            "telephone_number": "805-483-9825",
            "fax_number": "805-483-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARA LOPEZ",
        "first_name": "ALEJANDRA",
        "middle_name": "BERENICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "70122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.