Johnny Arruda MD, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JOHNNY ARRUDA MD, INC.

Practice address

255 Terracina Blvd
Suite 201
Redlands, CA 92373

Phone

(909) 793-2500

Fax

(909) 793-2502

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Arruda, MDNPI 1376590604

Title

Owner/Ceo

Phone

(909) 793-2500

Specialties & licenses 1

Addresses

Other names 1

• Premier ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e4ed3cc1-426d-4144-a9f2-f9eab264d97b/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Arruda, M.D.

  • Otolaryngology Physician
  • Redlands, CA
  • NPI 1376590604

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1750986196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "SUITE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-793-2500",
            "fax_number": "909-793-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "SUITE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-793-2500",
            "fax_number": "909-793-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY ARRUDA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "ARRUDA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-793-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John T Williams
• Johnathan Kim D.D.S. Dental Practice
• Lance Johns
• Andrea J. Johnson, PT
• Cameron J Johnson, M.D.
• Gregory B. Johnson, LMFT
• Jennifer Nichole Johnson, M.A.

• Otolaryngology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.