Active NPI
Johnny A Liquete, MD
- Internal Medicine Physician
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A49014
- Practice address
- 14114 Business Center Dr
Suite D
Moreno Valley, CA 92553-9113 - Phone
- (951) 697-1150
- Fax
- (951) 697-1189
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A49014 | CA | Primary |
Addresses
Primary practice location
14114 Business Center Dr
Suite D
Moreno Valley, CA 92553-9113
Mailing address
PO Box 8838
Moreno Valley, CA 92552-8838
Phone (951) 697-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A490141 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12980 Frederick St
Suite D
Moreno Valley, CA 92553-5263
Phone (951) 697-1150
Hospital & facility affiliations
- Redlands Community Hospital
- Parkview Community Hospital Medical Center
- Riverside Community Hospital
- San Gorgonio Memorial Hospital
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Liquete MD Inc | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients |
Locations
14114 Business Center Dr
Ste D
Moreno Valley, CA 92553
Phone (951) 419-0003
12980 Frederick St
Ste D
Moreno Valley, CA 92553
Phone (951) 243-2600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Infectious Disease Physician
- Moreno Valley, CA
- NPI 1053660662
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1366438574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8838",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925528838",
"telephone_number": "951-697-1150",
"fax_number": "951-697-1189"
},
{
"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",
"fax_number": "951-697-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIQUETE",
"first_name": "JOHNNY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A49014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A490141",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.