Active NPI
Ronald Bruce Johnson, MD
- Obstetrics & Gynecology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G55608
- Practice address
- 1701 E Cesar E Chavez Ave
Ste 225/200
Los Angeles, CA 90033-2496 - Phone
- (323) 225-4300
- Fax
- (323) 225-1803
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G55608 | CA | Primary |
Addresses
Primary practice location
1701 E Cesar E Chavez Ave
Ste 225/200
Los Angeles, CA 90033-2496
Mailing address
1701 E Cesar E Chavez Ave
Ste 225/200
Los Angeles, CA 90033-2496
Phone (323) 225-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2195 Club Ctr Dr
San Bernardino, CA 92408-4162
Phone (909) 835-1750
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
26600 Cactus Ave
Moreno Valley, CA 92555-3901
Hospital & facility affiliations
- Riverside University Health System-Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55608 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
26600 Cactus Ave
Ste 300
Moreno Valley, CA 92555
Phone (800) 720-9553
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rjohnson120296@direct.llu.edu
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
-
- Pediatrics Physician
- Moreno Valley, CA
- NPI 1073563748
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1013913722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E CESAR E CHAVEZ AVE",
"address_2": "STE 225/200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332496",
"telephone_number": "323-225-4300",
"fax_number": "323-225-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E CESAR E CHAVEZ AVE",
"address_2": "STE 225/200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332496",
"telephone_number": "323-225-4300",
"fax_number": "323-225-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RONALD",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G55608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.