Healthcare Provider Details

I. General information

NPI: 1447162458
Provider Name (Legal Business Name): VANESSA CONSUELO LOPEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 PAJARO ST
SALINAS CA
93901-3459
US

IV. Provider business mailing address

427 PAJARO ST
SALINAS CA
93901-3459
US

V. Phone/Fax

Practice location:
  • Phone: 800-214-5439
  • Fax: 831-796-0334
Mailing address:
  • Phone: 800-214-5439
  • Fax: 831-796-0334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95040088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: