Individual provider Active NPI

Johnny L Triplett, MD

  • Anesthesiology Physician
  • Long Beach, CA
National Provider Identifier
1245210368
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A53390 Issued in CA
Practice address
4674 East Barker Way
Long Beach, CA 90814
Phone
(562) 930-9059
Fax
(562) 930-9059
NPI assigned
Jan 17, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A53390 CA Primary

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 names 1

  • Dr. Johnny L. Triplett Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001303 CA Practitioner - Anesthesiology 9537251566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 5698903003, 10 clinicians
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53390CAMDAnesthesiology Physician
53390CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Dec 7, 2023 Accepting new patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Aug 15, 2023 Accepting new patients
Clarity Anesthesia Medical Group Anesthesiology CurrentSince Nov 1, 2018 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

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1245210368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 WYNDHAM AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93313",
            "telephone_number": "661-834-3929",
            "fax_number": "661-834-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 EAST BARKER WAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90814",
            "telephone_number": "562-930-9059",
            "fax_number": "562-930-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPLETT",
        "first_name": "JOHNNY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A53390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "TRIPLETT",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.