Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etinosa Lopez Ebagua

Individual provider Surgical Physician Assistant · NPI 1700655701

Etinosa Lopez Ebagua is a Surgical Physician Assistant in Santa Maria, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1075 W Betteravia Rd
Santa Maria, CA 93455
Phone: (805) 621-7651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1700655701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 1, 2024
Last updated in NPPESSeptember 11, 2025
Certification dateJanuary 1, 2024

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