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

Q: 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.

Q: 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.

Q: 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.

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: September 06, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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