John M Compoginis MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOHN M COMPOGINIS MD INC

Practice address

1044 S Fair Oaks Ave Ste 101
Pasadena, CA 91105-2622

Phone

(916) 425-3238

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

John Compoginis, MDNPI 1306039318

Title

President / Ceo

Phone

(916) 425-3238

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• John Compoginis, M.D.

  • Surgery Physician
  • Newport Beach, CA
  • NPI 1306039318
  Medicare reassignment NPD Authorized official
• Rafael Lemus-Rangel, M.D.

  • Surgery Physician
  • Lancaster, CA
  • NPI 1609102433
  NPD (past)
• Jessica Lizette Ribera, PA-C

  • Physician Assistant
  • Lancaster, CA
  • NPI 1619281631
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1902432255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910120807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "916-425-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M COMPOGINIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "COMPOGINIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "916-425-3238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A105902",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306039318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Ann Johansen, M.S. CCC-SLP
• John Bianchi Inc,a Chiropractic Corporation
• John D. F. Tarr M.D., PH.D., Inc
• John K F Debeixedon MD Inc
• John L Easthope Jr MD Inc
• John Vincent Spine Associates Inc
• Benjamin David Johnides, PH.D.
• Emilee L Johnsen
• Cynthia L Johnson-George, PH.D.
• Miranda Johnson-Haddad

• Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.