JOHNNY GREENE
NPI 1689282618
Physician Assistant in Huntington Park, CA

Active since July 15, 2020PECOS EnrolledAccepts Medicare Assignment
2623 E SLAUSON AVE, HUNTINGTON PARK, CA 90255(323) 583-1931 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Greene NPPES

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

JOHNNY GREENE (NPI 1689282618) is an individual physician assistant in Huntington Park, California, licensed in California (60202) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689282618
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHNNY GREENE
Location Address2623 E SLAUSON AVEHuntington Park, CA 90255-2926
Mailing AddressPo Box 623Oakley, CA 94561-0623
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2020
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
NPI 1689282618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 60202
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2623 E SLAUSON AVE, Huntington Park, CA 90255

Secondary Practice Location 1

Location 1400 N Pepper AveColton, CA 92324-1801 · Phone (909) 580-3390

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 Greene 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 ID3072979897
PECOS Enrollment IDI20230522001878
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90255 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Emergency Medicine
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Pharmacist
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Anesthesiology
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Specialist
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Internal Medicine (Interventional Cardiology)
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Internal Medicine
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255
Nurse Practitioner (Family)
2623 E SLAUSON AVE
HUNTINGTON PARK, CA 90255

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 Greene's NPI number?

The NPI number for Johnny Greene is 1689282618. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Johnny Greene located?

Johnny Greene practices at 2623 E Slauson Ave, Huntington Park, CA 90255. The listed phone number is (323) 583-1931.

What is Johnny Greene's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johnny Greene enrolled in Medicare?

Yes. Johnny Greene 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.

When was this NPI record last updated?

The NPPES record for Johnny Greene was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.