MARC INFANTE LOPEZ (NPI# 1417454430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417454430 |
| Entity Type | Individual |
| Full Name | MARC INFANTE LOPEZ |
| Practice Address |
1212 N California St Stockton CA 95202-1552 |
| Practice Telephone | 2094680102 |
| Practice Fax Number | 2094682380 |
| Mailing Telephone | 2094680102 |
| Mailing Fax Number | 2094682380 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
785849 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841765823 | Marc Elias Lopez | Physical Therapist | 15 Penny Ln Ste 4, Watsonville, CA 95076-6010 | 2018-10-05 |
| 1710978440 | Marc Lopez | Anesthesiology | 908 Allen St, Springfield, MA 01118-2533 | 2005-11-02 |
| Street Address |
1212 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592939 | Jin R. Soofi | Psychiatry & Neurology | 1212 N California St, Stockton, CA 95202-1552 | 2005-10-20 |
| 1750981437 | Matthew Robin Devera | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-30 |
| 1609475581 | Bailey T Manego | Recreational Therapist Assistant | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-21 |
| 1265039226 | Zachary Hensley | Marriage & Family Therapist | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-02 |
| 1508477662 | Danielle Wiseman | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-08-12 |
| 1073121414 | Criselle Jane Carillo Sumampong | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-22 |
| 1477161396 | Meliza Ann Agpaoa Ruiz | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-16 |
| 1124646815 | Maria Truong | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-08 |
| 1871110437 | Victoria Lynn Phillips | Social Worker | 1212 N California St, Stockton, CA 95202-1552 | 2020-06-30 |
| 1730702119 | Jennifer J Salon | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198778 | Jennifer Maina | Registered Nurse | 10231 River Oaks Dr, Stockton, CA 95209-4156 | 2019-11-10 |
| 1942758115 | Bao Nguyen | Registered Nurse | 6256 Welch Ave, Stockton, CA 95210-5623 | 2016-09-16 |
| 1679962963 | Christina Ty | Registered Nurse | 3108 Bryant Dr, Stockton, CA 95212-3419 | 2015-01-09 |
| 1750587648 | Nilda Owens | Registered Nurse | 3706 Zeppelin Ln, Stockton, CA 95212-9279 | 2007-06-26 |
| 1679693766 | Gilbert Juan Cabrera | Registered Nurse | 4122 Giselle Ln, Stockton, CA 95206-6508 | 2007-03-30 |
| 1013037274 | Arunny Hin-serapheap | Registered Nurse | 5544 Black Oak Dr, Stockton, CA 95212-2536 | 2007-03-30 |
| 1265074785 | Bobby Leal | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2019-10-16 |
| 1235795543 | Mike Kerr | Registered Nurse | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-05-13 |
| 1982102190 | Michaela Berry | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2018-01-23 |
| 1174033567 | Arabella Galbadores | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2017-10-11 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.