Carlos Lopez, ELECTROLYSIST

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

L9978 Issued in CA

Practice address

3032 Tulare St
Fresno, CA 93721-1415

Phone

(559) 889-3246

Fax

(559) 422-6151

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fresno Collective for Inclusive Medicine Inc.

  dba Fresno Inclusive

  • Gynecology Physician
  • Fresno, CA
  • NPI 1710709993
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1770395618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211415",
            "telephone_number": "559-889-3246",
            "fax_number": "559-422-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211415",
            "telephone_number": "559-889-3246",
            "fax_number": "559-422-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARLOS",
        "credential": "ELECTROLYSIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "L9978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelio Lopez
• Azucena Lopez
• Banessa Lopez
• Bianca Y Lopez
• Brittany Cayle Lopez
• Carolina Lopez, PPS
• Celia Lopez
• Christian Lopez
• Christian Omar Lopez
• Christian Orlando Lopez, DPT

• Other Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.