Active NPI
Johnny Negusse, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- FN2058623
- Practice address
- 8221 Rochester Ave Ste 130
Rancho Cucamonga, CA 91730-0721 - Phone
- (330) 353-1659
- NPI assigned
- Oct 2, 2008
- Last updated
- Nov 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | FN2058623 | TX | Primary |
Addresses
Primary practice location
8221 Rochester Ave Ste 130
Rancho Cucamonga, CA 91730-0721
Mailing address
8221 Rochester Ave Ste 130
Rancho Cucamonga, CA 91730-0721
Phone (330) 353-1659
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Nebi PC | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
8221 Rochester Ave
Ste 130
Rch Cucamonga, CA 91730
Phone (609) 497-7662
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Interoperability endpoints
- https://api.platform.athenahealth.com/24495/brand/1/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Hospital of San Bernardino | Hospital | Corporate Director | Jan 1, 2018 |
| San Bernardino Community Hospital | Hospital | Corporate Director | Jan 1, 2018 |
| Community Hospital of San Bernardino | Skilled nursing facility | Corporate Director | Jan 1, 2018 |
| Community Convalescent Center of San Bernardino | Skilled nursing facility | Corporate Director | Jan 1, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
Corporate Director
-
dba Community Convalescent Center of San Bernardino
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
Corporate Director
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1881845485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 ROCHESTER AVE STE 130",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300721",
"telephone_number": "330-353-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 ROCHESTER AVE STE 130",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300721",
"telephone_number": "330-353-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGUSSE",
"first_name": "JOHNNY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-02",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "FN2058623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.