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

Jessica Maria V Lopez Itliong

Individual provider Community Health Worker · NPI 1043895410

Jessica Maria V Lopez Itliong is a Community Health Worker in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8842
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1043895410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

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