Active NPI
Cecilia Amador Lopez, FNP
- Family Nurse Practitioner
- Montebello, CA
National Provider Identifier
1508919259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- FNP11421
- Practice address
- 901 W Whittier Blvd
Montebello, CA 90640-4737 - Phone
- (323) 728-8588
- Fax
- (323) 728-4444
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | FNP11421 | CA | Primary |
Addresses
Primary practice location
901 W Whittier Blvd
Montebello, CA 90640-4737
Mailing address
901 W Whittier Blvd
Montebello, CA 90640-4737
Phone (323) 728-8588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11420 | Other | CA | MEDICAL LICENSE |
| NP0114210 | Medicaid | CA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11421 | CA | MD | Forensic Psychologist |
| FNP11421 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1508919259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404737",
"telephone_number": "323-728-8588",
"fax_number": "323-728-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404737",
"telephone_number": "323-728-8588",
"fax_number": "323-728-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CECILIA",
"middle_name": "AMADOR",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "FNP11421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "11420",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0114210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.