John Liquete MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A49014 Issued in CA

Legal business name

JOHN LIQUETE MD INC

Practice address

14114 Business Center Dr
Suite D
Moreno Valley, CA 92553-9113

Phone

(951) 697-1150

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnny A Liquete, MDNPI 1366438574

Title

Owner

Phone

(951) 697-1150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnny A Liquete, MD

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1366438574
  Medicare reassignment NPD Authorized official
• Shwe Yee Aung, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Orange, CA
  • NPI 1104246842
  Medicare reassignment NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1053660662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 BUSINESS CENTER DR",
            "address_2": "SUITE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539113",
            "telephone_number": "951-697-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 BUSINESS CENTER DR",
            "address_2": "SUITE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539113",
            "telephone_number": "951-697-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LIQUETE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "LIQUETE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-697-1150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A49014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hui Jin Jo, DO
• Daniel Joe, M.D.
• Deborah Louise Joe, MSW
• Joel a Pengson, MD, a Medical Corporation
• Nevtej Johal, BA
• John W. Koett, M.D., PHD, Inc.
• Fanta Ceesay John, MD
• Dyniss Johnson-Thornton
• Aleda Marie Johnson, LVN
• Alyssa Johnson

• Infectious Disease Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.