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DERRICK LOCK
NPI 1669091856
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since April 09, 2020PECOS Enrolled
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3274 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Lock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK LOCK (NPI 1669091856) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2020).

NPPES Registry Identity

NPI1669091856
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDERRICK LOCK
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address4445 Magnolia AveRiverside, CA 92501-4135
Phone(951) 788-3274
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2020
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1669091856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4445 MAGNOLIA AVE, Riverside, CA 92501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Lock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466839253
PECOS Enrollment IDI20250730002822
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID W LEVINE PA-C
Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3381
STEVEN GREGORY PARKIN MD
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
JAGMEET SINGH ARORA
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 966-8398
ASHFI HOQUE
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 495-9994
ALINA S POPA MD
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3636
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3400
SUPRIYA ANJALI BHUPATHY
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 786-5350
RUSHIL ANIL PATEL
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Lock's NPI number?

The NPI number for Derrick Lock is 1669091856. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Derrick Lock located?

Derrick Lock practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 788-3274.

What is Derrick Lock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derrick Lock enrolled in Medicare?

Yes. Derrick Lock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Lock was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.