Individual provider Active NPI

Hege Johnsen, MD

  • Surgery Physician
  • Hemet, CA
National Provider Identifier
1487781829
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A107535 Issued in CA
Practice address
1280 E Latham Ave
Hemet, CA 92543-4445
Phone
(951) 766-1222
Fax
(951) 766-1226
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A107535 CA Primary

Addresses

Primary practice location

1280 E Latham Ave
Hemet, CA 92543-4445

Mailing address

PO Box 1891
Hemet, CA 92546-1891
Phone (951) 929-6260

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
I20110902000271 CA Practitioner - General Surgery 5193995926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murrieta Valley Surgery Associates Medical Group Inc ApcGroup PAC ID 6002136926, 16 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Suite 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000

Hospital & facility affiliations

  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)13
Mastectomy22
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107535CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murrieta Valley Surgery Associates Medical Group, Inc, Apc Surgery CurrentSince May 5, 2016 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

830 Magnolia Ave
Ste 1
Corona, CA 92879

830 Magnolia Ave
Fl 1
Corona, CA 92879
Phone (657) 216-6090

3853 W Stetson Ave
Ste 105
Hemet, CA 92545

31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304

36320 Inland Valley Dr
Ste 201
Wildomar, CA 92595
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hjohnsen181965@direct.llu.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1487781829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1891",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925461891",
            "telephone_number": "951-929-6260",
            "fax_number": "951-765-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-766-1222",
            "fax_number": "951-766-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "HEGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A107535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.