BRETT C. LOCKMAN (NPI# 1003002742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003002742 |
| Entity Type | Individual |
| Full Name | BRETT C. LOCKMAN |
| Credential | DO |
| Practice Address |
680 Guzzi Ln Suite 101 Sonora CA 95370-5288 |
| Practice Telephone | 2095363878 |
| Practice Fax Number | 2095363877 |
| Mailing Telephone | 2095363878 |
| Mailing Fax Number | 2095363877 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2017-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 2015158 | CA | Allopathic & Osteopathic Physicians |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | N0221 | TX | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 2015158 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | N0221 | TX | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
4156 | IA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
4156 | IA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
20A15158 | CA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
N0221 | TX | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
4156 | IA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4156 | IA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
20A15158 | CA | Allopathic & Osteopathic Physicians |
| N | 2081P0301X |
Physical Medicine & Rehabilitation Specialization: Brain Injury Medicine |
20A15158 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | P00784683 | 01 |
| NC | AETNA | 0009606357 | 01 |
| NC | BCBSNC | 1542X | 01 |
| NC | MAMSI | 2235045 | 01 |
| NC | UHC | 2915767 | 01 |
| Street Address |
680 GUZZI LN SUITE 101 |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271818 | Choo S Lee | Specialist | 680 Guzzi Ln, Suite 202, Sonora, CA 95370-5288 | 2005-08-09 |
| 1487188280 | Stephen Hopkins Md Medical Corporation | Phlebology | 680 Guzzi Ln, Suite 103, Sonora, CA 95370-5288 | 2017-04-18 |
| 1487104899 | Deanna Fossen | Nurse Practitioner | 680 Guzzi Ln, Suite 105, Sonora, CA 95370-5288 | 2016-10-10 |
| 1255703559 | Kathryn Walker | Nurse Practitioner | 680 Guzzi Ln, Suite 203, Sonora, CA 95370-5288 | 2015-10-26 |
| 1215225982 | Sierra Specialty Call Group Medical Corporation | Orthopaedic Surgery | 680 Guzzi Ln, Suite 203, Sonora, CA 95370-5288 | 2011-07-15 |
| 1104147206 | Rana Rand | Physical Medicine & Rehabilitation | 680 Guzzi Ln, Ste 101, Sonora, CA 95370-5288 | 2010-06-13 |
| 1659526440 | Daniel C. Meador, Md, Inc | Internal Medicine | 680 Guzzi Ln, Suite 201, Sonora, CA 95370-5288 | 2008-11-20 |
| 1457529612 | Tony L Lloyd M.d., Inc. | Family Medicine | 680 Guzzi Ln, Ste 106, Sonora, CA 95370-5288 | 2008-02-11 |
| 1609062132 | Airell L Nygaard Md Inc | Physician Assistant | 680 Guzzi Ln, Suite 102, Sonora, CA 95370-5288 | 2007-09-19 |
| 1134327083 | Sonora Community Hospital | Obstetrics & Gynecology | 680 Guzzi Ln, Suite 106, Sonora, CA 95370-5288 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.