Johnny Morales, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1688 N Perris Blvd Ste H4
Perris, CA 92571-4746

Phone

(951) 657-7876

Fax

(951) 657-5799

NPI assigned

May 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: johnny.morales.p2@direct.mpmccorp.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: johnny.morales.p6@direct.mpmccorp.nextgenshare.com

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.

• Mommy and Me Medical Group, Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1730258765
  Medicare reassignment
• CMG Express Care, Inc

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1962746404
  NPD (past)
• Reuben C Castillo, Professional Corporation

  • General Practice Physician
  • Perris, CA
  • NPI 1942429188
  NPD (past)
• Senior'S Choice Medical Group, Inc.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1023506672
  NPD (past)

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1619325875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52142",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925173142",
            "telephone_number": "951-454-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD STE H4",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714746",
            "telephone_number": "951-657-7876",
            "fax_number": "951-657-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6859 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062865",
            "country_code": "US",
            "telephone_number": "951-824-7887",
            "fax_number": "951-680-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JOHNNY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-28",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquesha Moore
• Lorie Moore, B.A.
• Tonya Moore
• Tyyendra Vyonn Moore
• Monica Mora
• Jose Roberto Morales, M.D.
• Josie Morales, LCSW
• Raymond Morales
• Vanessa Zuniga Morales
• Adelaida D Moreno

• Medical Physician Assistant in Perris, CA
• Providers in Perris, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.