Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA MARIA V. LOPEZ ITLIONG
Deactivated Sole ProprietorJESSICA MARIA V. LOPEZ ITLIONG is a Day Training/Habilitation healthcare provider located in STOCKTON, California. NPI 1043895410 is deactivated in the NPPES registry. Verify at CMS.
Day Training/Habilitation · STOCKTON, CA
This NPI has been deactivated.
The record was deactivated on January 30, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1043895410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2021 (2.8743169398907 yrs)
- Last Updated
- Mar 21, 2025
- Deactivated
- Jan 30, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1212 N CALIFORNIA STSTOCKTON, CA, 952021552Browse CA providers · Browse ZIP 95202
- Phone
- 2094688842
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Day Training/Habilitation
Other Day Training/Habilitation Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JUANITA MARIE SALAZAR | — | 1275685802 |
| BRIAN ELLIS LEWIS | — | 1902948706 |
| YESENIA CORTEZ | — | 1750409462 |
| MR. PIR AZAM SHAH | — | 1891815643 |
| AMY C. RIVERA | — | 1508986811 |
| OFELIA USITA TABUYO | — | 1477673358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.