MOIRA S. LOCKE (NPI# 1568403954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568403954 |
Entity Type | Individual |
Full Name | MOIRA S. LOCKE |
Other Name | MOIRA SHAE BANYAGA / CUTHBERTSON |
Credential | MD |
Practice Address |
144 South 'l' St Dinuba CA 93618 |
Mailing Address |
Po Box 4528 Irvine CA 92616 |
Practice Telephone | 5595916680 |
Practice Fax Number | 5595914606 |
Mailing Telephone | 3104984891 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2010-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-12646 | HI | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A101543 | CA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A101543 | CA | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-12646 | HI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | HMSA BILLING NUMBER | 00A0251221 | 01 |
HI | 564072-03 | 05 |
Street Address |
144 SOUTH 'L' ST |
City | DINUBA |
State | CA |
Zip Code | 93618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518447291 | Ericka Carmona | Health Educator | 1000 Rosemary Ave, Dinuba, CA 93618 | 2018-08-21 |
1821481391 | Riaz Qamar | Clinical Nurse Specialist | 420 E Elmonte Way, Dinuba, CA 93618 | 2015-03-09 |
1841607801 | Kaweah Delta Health Care District | Clinic/Center | 355 Monte Vista Dr, Dinuba, CA 93618 | 2014-07-22 |
1891084539 | Susana Dy Calambro | Pharmacist | 2200 E. El Monte Way, Rite Aid, Dinuba, CA 93618 | 2011-04-04 |
1902039860 | Araceli Moreno | Counselor | 144 S L Street, Dinuba, CA 93618 | 2009-08-26 |
1346473238 | Yolanda Marie Rodriguez | Social Worker | 144 S L. Street, Dinuba, CA 93618 | 2009-08-26 |
1679727184 | Alexandra Contreras | Licensed Vocational Nurse | 144 So. L Street, Dinbua, CA 93618 | 2008-11-11 |
1932350063 | Emmanuel Garcia | Licensed Vocational Nurse | 144 South L St., Dinuba, CA 93618 | 2008-10-07 |
1043493430 | Firstsight Vision Services, Inc. | Optometrist | 700 West El Monte Way, Dinuba, CA 93618 | 2007-12-10 |
1487846929 | Debra Cendejas | Counselor | 144 S. L. St., Dinuba, CA 93618 | 2007-08-17 |
Find all providers in zip 93618 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.