Active NPI
Linda Dianne Morford
- Physician Assistant
- Los Banos, CA
National Provider Identifier
1497868657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12815
- Practice address
- 1045 5TH St
Los Banos, CA 93635-4204 - Phone
- (209) 827-4747
- Fax
- (209) 827-5831
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12815 | CA | Primary |
Addresses
Primary practice location
1045 5TH St
Los Banos, CA 93635-4204
Mailing address
1172 Zumstein CT
Ripon, CA 95366-3118
Phone (209) 599-8406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497868657 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12815 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sight of Stockton a Medical Corporation | Past | Accepting new patients | |
| Central Stockton Medical Clinic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Stockton, CA
- NPI 1326062084
-
- Family Medicine Physician
- Stockton, CA
- NPI 1932148343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1497868657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 ZUMSTEIN CT",
"city": "RIPON",
"state": "CA",
"postal_code": "953663118",
"telephone_number": "209-599-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 5TH ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354204",
"telephone_number": "209-827-4747",
"fax_number": "209-827-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORFORD",
"first_name": "LINDA",
"middle_name": "DIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "12815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497868657",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.