NPIMap

Individual provider Active NPI

Roger Duncan Johnson Jr., M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1093949687
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A107990 Issued in CA
Practice address
100 Stein PLZ
1-340
Los Angeles, CA 90095-0001
Phone
(310) 825-5000
NPI assigned
May 11, 2009
Last updated
Sep 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A107990 CA Primary

Addresses

Primary practice location

100 Stein PLZ
1-340
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 825-5000

Other identifiers 1

IdentifierTypeStateIssuer
0A1079900MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000687 CA Practitioner - Ophthalmology 2264619543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Eye Specialists a Medical CorpGroup PAC ID 3375447964, shared by 5 NPIs, 18 clinicians

Practice addresses (Care Compare)

3953 W Stetson Ave
Hemet, CA 92545-9687
Phone (951) 696-5388

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
88.72
Promoting interoperability
99
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107990CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists a Medical Corp Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Inland Eye Specialists a Medical Corp CurrentSince Aug 1, 2012 Accepting new patients
Inland Eye Specialists, a Medical Corporation Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Inland Eye Specialists a Medical Corp CurrentSince Aug 1, 2012 Accepting new patients
Inland Eye Specialists a Medical Corp Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

521 E Elder St
Ste 102
Fallbrook, CA 92028
Phone (760) 728-5728

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

25460 Medical Center Dr
Ste 103
Murrieta, CA 92562
Phone (951) 698-4575

31950 Temecula Pkwy
Ste B-7
Temecula, CA 92592
Phone (909) 303-0575

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rduncan.johnson.p4@direct.inlandeyespecialists.nextgenshare.com
  • Direct secure messaging: rduncan.johnson.p8@direct.inlandeyespecialists.nextgenshare.com
  • Direct secure messaging: roger.johnson.p1@direct.milauskas.nextgenshare.com
  • Direct secure messaging: roger.johnson.p3@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316908800000",
    "number": "1093949687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STEIN PLZ",
            "address_2": "1-340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROGER",
        "middle_name": "DUNCAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2011-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A107990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1079900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.