Active NPI
Yvette Marie Johnson, DC
- Chiropractor
- Long Beach, CA
National Provider Identifier
1083022933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32954
- Practice address
- 5855 E Naples PLZ
Suite 113
Long Beach, CA 90803-5060 - Phone
- (562) 810-4916
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 32954 | CA | Primary |
Addresses
Primary practice location
5855 E Naples PLZ
Suite 113
Long Beach, CA 90803-5060
Mailing address
5855 Naples Plaza
Suite 113
Long Beach, CA 90803-3209
Phone (562) 810-4916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200422000493 | CA | Practitioner - Chiropractic | 2062774136 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5855 E Naples PLZ
Suite 113
Long Beach, CA 90803-5077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32954 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Shore Wellness LLC | Chiropractor | Current | Accepting new patients |
Locations
15520 Rockfield Blvd
Ste A200
Irvine, CA 92618
5855 E Naples Plz
Ste 113
Long Beach, CA 90803
Phone (562) 810-4916
Organizations & group practices 1
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.
-
- Chiropractor
- Long Beach, CA
- NPI 1174067128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1083022933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 NAPLES PLAZA",
"address_2": "SUITE 113",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033209",
"telephone_number": "562-810-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 E NAPLES PLZ",
"address_2": "SUITE 113",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035060",
"telephone_number": "562-810-4916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "YVETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.