Johnny L Triplett, MD
Individual provider Active NPI Anesthesiology Physician · Long Beach, CA
NPI 1245210368 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1245210368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A53390 (CA)
- Practice address
- 4674 East Barker Way
Long Beach, CA 90814 - Phone
- (562) 930-9059
- Fax
- (562) 930-9059
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premiercare Anesthesia Fountain Valley Inc
Orange Coast Anesthesia Inc
Practice addresses (Care Compare)
2880 Atlantic Ave
Suite 160
Long Beach, CA 90806-1715
Phone (562) 453-3814
3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 598-1311
Hospital & facility affiliations
- Uci Health-Orange
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070822001303 | CA | Practitioner - Anesthesiology | 9537251566 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53390 | CA | MD | Endodontist |
| A53390 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Anesthesia Inc | Anesthesiology | Current |
Accepting new patients |
| Premiercare Anesthesia Fountain Valley Inc | Anesthesiology | Current |
Accepting new patients |
| Clarity Anesthesia Medical Group | Anesthesiology | Current |
Accepting new patients |
| California Anesthesia Providers a Medical Corporation | Anesthesiology | Past | Accepting new patients |
Locations
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
27462 Portola Pkwy
Ste 100
Lake Forest, CA 92610
Phone (949) 280-6497
2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814
3747 Worsham Ave
Long Beach, CA 90808
Phone (562) 430-4513
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A53390 | CA | Yes |
Addresses
Primary practice location
4674 East Barker Way
Long Beach, CA 90814
Mailing address
3811 Wyndham Ave
Bakersfield, CA 93313
Phone (661) 834-3929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A53390 | Medicaid | CA |
Other names
- Dr. Johnny L. Triplett
Other providers in Long Beach, CA
- Theresa Trinh
- Katarina Trinidad
- Trinity Health Care Services LLC
- Trinity Maria, Inc
- Susette Trinque Magana
- Darrika Tripp
- Alissa Triyoes
- Alejandra Trojanowski
- Gary Trombatore
- Raymond Tropeano
All providers in Long Beach, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.