MR. MARK ERWIN SANTOS LOPEZ DNP APRN PMHNP-BC NPI 1649674797

NPI Information

NPI: 1649674797
Provider Name: MR. MARK ERWIN SANTOS LOPEZ, DNP, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2230 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-2972
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MR. Mark Erwin Santos Lopez, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Sacramento, CA with 10 years of experience. MR. Mark Erwin Santos Lopez, DNP, APRN, PMHNP-BC NPI is 1649674797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2230 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-353
Phone: (916) 734-2972

The NPI 1649674797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 4/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		763720	TEXAS	No
2	163W00000X	Registered Nurse		95119878	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP126629	TEXAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95006452	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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