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

Mr. Alfredo Ivan Lopez, NP

Individual provider Family Nurse Practitioner · NPI 1891553913

Mr. Alfredo Ivan Lopez, NP is a Nurse Practitioner in Fresno, California. Qualified in 2023, 3 years ago. Practices with Innovative Dermatology Alliance Ca, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

135 W Shaw Ave
Fresno, CA 93704-2825
Phone: (559) 258-0968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95029419 (CA)

Record details

NPI number1891553913
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Innovative Dermatology Alliance Ca — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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