Individual provider Active NPI

Katrina Marie Lopez

  • Community Health Worker
  • Clovis, CA
National Provider Identifier
1518473990
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
90 W Ashlan Ave Ste 100
Clovis, CA 93612-5627
Phone
(559) 882-5591
NPI assigned
Dec 20, 2017
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

90 W Ashlan Ave Ste 100
Clovis, CA 93612-5627

Mailing address

824 W Alamos Ave
Fresno, CA 93705-0513
Phone (559) 999-2512

Other practice location 1

3360 N Highway 59 Ste K
Merced, CA 95348-9405
Phone (209) 726-3090

Other practice location 2

1051 Shawnan Dr
Turlock, CA 95380-3053
Phone (559) 347-4542

Other names 1

  • Miss Katrina Marie Tovsrud Former name

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1518473990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 W ALAMOS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050513",
            "telephone_number": "559-999-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W ASHLAN AVE STE 100",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936125627",
            "telephone_number": "559-882-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 N Highway 59 Ste K",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953489405",
            "country_code": "US",
            "telephone_number": "209-726-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Shawnan Dr",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953803053",
            "country_code": "US",
            "telephone_number": "559-347-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "TOVSRUD",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.