Individual provider Active NPI

John R Desnoyers, M.D.

  • Emergency Medicine Physician
  • Hemet, CA
National Provider Identifier
1760423420
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G81907 Issued in CA
Practice address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone
(909) 652-2811
NPI assigned
Jun 10, 2006
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G81907 CA Primary

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Mailing address

File 57351
Los Angeles, CA 90074-0001
Phone (800) 818-5438

Other identifiers 4

IdentifierTypeStateIssuer
G81907OtherBLUE CROSS
00G819070MedicaidCA
00G819070OtherBLUE SHIELD
G81907OtherRIVERSIDE CO EMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081111000571 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 5294894846 Practice locations: Del Mar, CA
I20241120000682 CT Practitioner - Emergency Medicine 5294894846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G81907CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Oct 28, 2024 Accepting new patients
American Current Care PA CurrentSince Oct 28, 2024 Accepting new patients
Jennifer Tran DO, Inc. PastSince Dec 6, 2022 Accepting new patients
Hemet Emergency Med Group @ Menifee Hospital Emergency Medicine Past Accepting new patients
John Desnoyers MD, Inc. Emergency Medicine Past Accepting new patients
Hemet Emergency Medical Group Emergency Medicine Past Accepting new patients

Locations

701 Main St
East Hartford, CT 06108
Phone (860) 289-5561

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1760423420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57351",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "800-818-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "909-652-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESNOYERS",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G81907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G81907",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G819070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G819070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERSIDE CO EMS",
            "identifier": "G81907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.