Individual provider Active NPI

Laura Lilia Lopez, FNP-C

  • Family Nurse Practitioner
  • Livingston, CA
National Provider Identifier
1942903596
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024698 Issued in CA
Practice address
600 B St
Livingston, CA 95334-9593
Phone
(833) 850-3500
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024698 CA Primary

Addresses

Primary practice location

600 B St
Livingston, CA 95334-9593

Mailing address

600 B St
Livingston, CA 95334-9593
Phone (408) 204-8308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129003764 CA Practitioner - Nurse Practitioner 3072966720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024698CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Dec 17, 2023 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince Dec 17, 2023 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients

Locations

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Livingston, CA 95334
Phone (209) 850-3500

12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200

Interoperability endpoints

  • Direct secure messaging: laura.lopezfnp.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1942903596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "408-204-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "833-850-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LAURA",
        "middle_name": "LILIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

Verify at the official NPI Registry.