MR. GLEN LOPEZ FAJARDO RN
NPI 1386010239
Registered Nurse in American Canyon, CA

Active since August 14, 2015
335 SUMMERWOOD DR, AMERICAN CANYON, CA 94503(707) 656-3252 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Glen Lopez Fajardo Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN LOPEZ FAJARDO RN (NPI 1386010239) is an individual registered nurse in American Canyon, California, licensed in California (CA-RN 706582) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1386010239
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. GLEN LOPEZ FAJARDOCredential: RN
Location Address335 SUMMERWOOD DRAmerican Canyon, CA 94503-3184
Mailing Address335 Summerwood DrAmerican Canyon, CA 94503-3184 · (707) 656-3252
Sole ProprietorNo
Enumeration DateAugust 14, 2015
NPI 1386010239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses Licensed in CA · CA-RN 706582 Licensed in CA · PHN 79745
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
335 SUMMERWOOD DR, American Canyon, CA 94503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Fajardo's NPI number?

The NPI number for Glen Fajardo is 1386010239. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Glen Fajardo located?

Glen Fajardo practices at 335 Summerwood Dr, American Canyon, CA 94503. The listed phone number is (707) 656-3252.

What is Glen Fajardo's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Glen Fajardo was last updated on August 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.