Johnnie C Morgan IV, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

34624 Issued in CA

Practice address

30423 Canwood St Ste 128
Agoura Hills, CA 91301-4314

Phone

(818) 735-4900

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Squared LLCGroup PAC ID 1850743683, 4 clinicians

Chiropractic Health Innovations PLCGroup PAC ID 7012925332, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic Health Innovations, PLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1801075866
  Medicare reassignment Care Compare group NPD
• Focus Squared LLC

  dba Ocotillo Chiropractic Center

  • Chiropractor
  • Chandler, AZ
  • NPI 1255117941
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1932758679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST STE 128",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014314",
            "telephone_number": "818-735-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST STE 128",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014314",
            "telephone_number": "818-735-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30423 Canwood St Ste 128",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913014314",
            "country_code": "US",
            "telephone_number": "818-735-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JOHNNIE",
        "middle_name": "C",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "34624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Nido Lake Vista, LLC
• Monte Nido Lake Vista, LLC (Clementine Malibu Lake)
• Fernanda Monteon Ibarra, AGACNP-BC
• Megan Moran
• Paloma Moran, PSYD, LP
• Roxanna Morton
• Remington Elizabeth Moses
• Taryn Nicole Moshiri, PT, DPT
• David Moskowitz, MD
• Corine Musgrove

• Sports Physician Chiropractor in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.