Dr Alonzo E Lockhart MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C42439 Issued in CA

Legal business name

DR ALONZO E LOCKHART MD PC

Practice address

1329 E 1St St
Santa Ana, CA 92701-6310

Phone

(714) 547-6542

Fax

(714) 547-6597

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Alonzo Ellis Lockhart, MDNPI 1770944019

Title

Medical Director

Phone

(714) 547-6543

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alonzo Ellis Lockhart, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1770944019
  NPD (past) Authorized official
• Ebrahim Mamour Jagne Sr., PA

  • Medical Physician Assistant
  • Santa Ana, CA
  • NPI 1497808497
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1548427032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016310",
            "telephone_number": "714-547-6542",
            "fax_number": "714-547-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016310",
            "telephone_number": "714-547-6542",
            "fax_number": "714-547-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALONZO E LOCKHART MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-547-6543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.