LORETTA LOCKE (NPI# 1508901265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508901265 |
| Entity Type | Individual |
| Full Name | LORETTA LOCKE |
| Credential | FNP |
| Practice Address |
315 Mercy Ave Ste 400 Merced CA 95340-8368 |
| Mailing Address |
3400 Data Dr Physician Support Services, 2nd Fl Rancho Cordova CA 95670-7956 |
| Practice Telephone | 2095463700 |
| Practice Fax Number | 2095643725 |
| Mailing Fax Number | 2093857017 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
548542 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | 548542 | 01 |
| Street Address |
315 MERCY AVE STE 400 |
| City | MERCED |
| State | CA |
| Zip Code | 95340-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508865 | Alfred B Johnson | Surgery | 315 Mercy Ave, Merced, CA 95340-8363 | 2005-12-14 |
| 1013411404 | Massud R Weiss | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Merced, CA 95340-8363 | 2018-03-20 |
| 1114421534 | Thu Phuoc Anh Truong | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Merced, CA 95340-8363 | 2018-03-20 |
| 1952834947 | Alex Tanaka Chin | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2017-04-06 |
| 1114459997 | Radhika Bali | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Ste. 301, Merced, CA 95340-8363 | 2017-03-30 |
| 1982055760 | Jaspreet Singh Nanra | Family Medicine | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-06-23 |
| 1912357567 | Yang Cao | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-06-14 |
| 1821459785 | Masooma Mujeeb | Family Medicine | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-03-18 |
| 1316314693 | Vida Vreca-ponnequin | Nurse Practitioner | 315 Mercy Ave, Suite 400, Merced, CA 95340 | 2015-08-21 |
| 1477943199 | Eileen Kim | Family Medicine | 315 Mercy Ave, Suite 400, Merced, CA 95340-8363 | 2015-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819628 | Florence Wairimu Thomsen | Nurse Practitioner | 12 Aldrich Dr, Merced, CA 95348-8516 | 2020-07-28 |
| 1821607797 | Gurdeep Singh | Nurse Practitioner | 4985 Webber Ct, Merced, CA 95348-8540 | 2020-07-27 |
| 1003425976 | Raj Kumar Sharma | Nurse Practitioner | 4824 Langley Way, Merced, CA 95348-8543 | 2020-07-27 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1811454135 | Suzanne Faye Nickerson | Nurse Practitioner | 3064 Oleander Ave, Merced, CA 95340-2335 | 2019-02-22 |
| 1023564812 | Gina Leisha Broussard | Nurse Practitioner | 3503 Capilano Ct, Merced, CA 95340 | 2016-08-31 |
| 1881147718 | Connie Heckman | Nurse Practitioner | 1166 Paseo Redondo Dr, Merced, CA 95348-1825 | 2016-07-27 |
| 1437518966 | Elizabeth Ocso Fernberg | Nurse Practitioner | 3576 Santiago Ave, Merced, CA 95348-9500 | 2016-02-11 |
| 1114392990 | Stella Nwasoka Adesokan | Nurse Practitioner | 1114 Olivewood Dr, Merced, CA 95348-1210 | 2015-12-05 |
| 1366731705 | David Norris Norris | Nurse Practitioner | 700 W 22nd St, Merced, CA 95340-3638 | 2011-04-06 |
| Find all providers in MERCED | ||||
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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.