Aja Elis Locke, MS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

BOC2000041205 Issued in CA

Practice address

641 Campus Dr
Stanford, CA 94305-6201

Phone

(818) 795-7847

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1326684861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E ORANGE GROVE AVE APT 303",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012884",
            "telephone_number": "818-861-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943056201",
            "telephone_number": "818-795-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "AJA",
        "middle_name": "ELIS",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "BOC2000041205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Lo, MD PHD
• Robin Hans Lo, MD
• Viveta Ephrosinia Lobo, MD
• Gregory Milo Lochbaum, MD
• Christopher Bruce Lock, MD
• Briana Lockett, PA
• Anne Juliana Lockman, MD
• Jacob Walter Loeffler, MD
• Andreas Markus Loening, MD/PH.D.
• Jennifer Sue Lofland, CRNA

• Athletic Trainer in Stanford, CA
• Providers in Stanford, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.