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JOHNNY A EGUIZABAL M.D.
NPI 1528333986
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
450 E SPRING ST STE 1, LONG BEACH, CA 90806(562) 933-0063(562) 933-0079 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnny A Eguizabal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY A EGUIZABAL M.D. (NPI 1528333986) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).

NPPES Registry Identity

NPI1528333986
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHNNY A EGUIZABALCredential: M.D.
Location Address450 E SPRING ST STE 1Long Beach, CA 90806-1625
Mailing Address450 E Spring St Ste 1Long Beach, CA 90806-1625 · (562) 933-0063 · Fax (562) 933-0079
Phone(562) 933-0063
Fax(562) 933-0079
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateMarch 19, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1528333986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 E SPRING ST STE 1, Long Beach, CA 90806
Open in Google Maps ↗

Other Identifiers 1

Other390200000XCA · Student In An Organized Health Care Education/training

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnny A Eguizabal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476861873
PECOS Enrollment IDI20151005002635
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johnny Eguizabal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
324 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOANN Y CHANG M.D.
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
ALEXANDER GUEVARA
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
DR. ROCHELLE LACAZE
Family Medicine
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
KATHLEEN D. TOR MD
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
TONY HSU M.D.
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
EMMA ASHER
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
VICTORIA ANDREA SOLOMON MD
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0500
PAMELA MARIA WADE
Nurse Practitioner
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Eguizabal's NPI number?

The NPI number for Johnny Eguizabal is 1528333986. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Johnny Eguizabal located?

Johnny Eguizabal practices at 450 E Spring St Ste 1, Long Beach, CA 90806. The listed phone number is (562) 933-0063.

What is Johnny Eguizabal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Johnny Eguizabal enrolled in Medicare?

Yes. Johnny Eguizabal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Johnny Eguizabal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Eguizabal reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Eguizabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnny Eguizabal was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.