Amisi Magne Morisho, R.N.P.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

582329 Issued in CA

Practice address

37097 Winged Foot Rd
Beaumont, CA 92223-8012

Phone

(909) 800-9072

NPI assigned

Jan 28, 2013

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siskiyou Hospital IncGroup PAC ID 1254223134, shared by 2 NPIs, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Minghsun Liu, M.D., PC

  dba Woundtech of California

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD
• WT Health of California LLC

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1063201655
  Medicare reassignment NPD
• Vision Home Health Care Inc

  dba Inland Hospice Care

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1164785424
  NPD (past)
• Vision Home Health Care Inc.

  dba Vision Home Health Care

  • Home Health Agency
  • Riverside, CA
  • NPI 1851343826
  NPD (past)

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1619215506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37097 WINGED FOOT RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238012",
            "telephone_number": "909-800-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37097 WINGED FOOT RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238012",
            "telephone_number": "909-800-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Division St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063260",
            "country_code": "US",
            "telephone_number": "951-787-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORISHO",
        "first_name": "AMISI",
        "middle_name": "MAGNE",
        "credential": "R.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "20745",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "582329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Dental Corporation (Beaumont Smiles Dental Group)
• Randi Moore
• Efren Mora
• Joseph Donatelli Morales
• Katherine Moreno
• Michelle Alta Morton, FNP
• Devadas S. Moses, MD, FACP, DR.PH.
• Shoua Moua, NP
• Aisha Mumssy Mtimkhulu Wise, RN
• Netsai Mugwira, RN

• Medical-Surgical Registered Nurse in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.

Verify at the official NPI Registry.