Active NPI
Lorryn Michelle Johnson, DC
- Chiropractor
- Riverside, CA
National Provider Identifier
1013689629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36152
- Practice address
- 7065 Indiana Ave
Riverside, CA 92506-4167 - Phone
- (951) 476-0115
- NPI assigned
- Oct 1, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36152 | CA | Primary |
Addresses
Primary practice location
7065 Indiana Ave
Riverside, CA 92506-4167
Mailing address
7065 Indiana Ave
Riverside, CA 92506-4167
Phone (951) 476-0115
Other practice location 1
2285 Treehouse Ln # J114
Corona, CA 92879-6556
Phone (951) 224-5370
Other practice location 2
12830 Hesperia Rd # Cde
Victorville, CA 92395-7788
Phone (760) 684-8999
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moeller-Bertram Medical Corporation | Past | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | 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.
-
- Pain Medicine Physician
- Rancho Mirage, CA
- NPI 1699586388
-
- Durable Medical Equipment & Medical Supplies
- Victorville, CA
- NPI 1376430678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1013689629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7065 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064167",
"telephone_number": "951-476-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064167",
"telephone_number": "951-476-0115"
}
],
"practiceLocations": [
{
"address_1": "2285 Treehouse Ln # J114",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928796556",
"country_code": "US",
"telephone_number": "951-224-5370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12830 Hesperia Rd # Cde",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "923957788",
"country_code": "US",
"telephone_number": "760-684-8999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LORRYN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.