Active NPI
Jacob Dewayne Locklin
- Behavior Analyst
- Morgan Hill, CA
National Provider Identifier
1043703077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15295 La Alameda Dr Apt 5
Morgan Hill, CA 95037-5718 - Phone
- (408) 472-5669
- NPI assigned
- Jun 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
15295 La Alameda Dr Apt 5
Morgan Hill, CA 95037-5718
Mailing address
15295 La Alameda Dr Apt 5
Morgan Hill, CA 95037-5718
Phone (408) 472-5669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SIF648A77083 | Other | CA | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1043703077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15295 LA ALAMEDA DR APT 5",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950375718",
"telephone_number": "408-472-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15295 LA ALAMEDA DR APT 5",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950375718",
"telephone_number": "408-472-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLIN",
"first_name": "JACOB",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "SIF648A77083",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.