SIBONISIWE MOYO JOHNSON (NPI# 1255872719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255872719 |
| Entity Type | Individual |
| Full Name | SIBONISIWE MOYO JOHNSON |
| Other Name | SIBONISIWE MOYO |
| Credential | NP |
| Practice Address |
22555 Alessandro Blvd Ste B Moreno Valley CA 92553 |
| Mailing Address |
22555 Alessandro Blvd Ste B Moreno Valley CA 92553-8533 |
| Practice Telephone | 9516567081 |
| Practice Fax Number | 9516561710 |
| Mailing Telephone | 9516567081 |
| Mailing Fax Number | 9516561710 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95005225 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16152 St Antony Ln, Fontana, CA 92336 | 6263544036 |
| Street Address |
22555 ALESSANDRO BLVD STE B |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| 1184030769 | Thanos Dds Inc | Clinic/Center | 24104 Sunnymead Blvd # C, Moreno Valley, CA 92553 | 2014-07-03 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417124 | Fely Embrado | Nurse Practitioner | 12632 Magnolia Dr, Moreno Valley, CA 92555-3513 | 2020-08-11 |
| 1528695558 | Erin Sullivan | Nurse Practitioner | 25620 Cactus Ave, Moreno Valley, CA 92555-9255 | 2020-03-27 |
| 1730571209 | Cecelia Patrician Cartman Seals | Nurse Practitioner | 26590 Kalmia Ave, Moreno Valley, CA 92555-1760 | 2015-02-20 |
| 1457770836 | Uchenna G Orji | Nurse Practitioner | 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102 | 2014-04-14 |
| 1699842435 | Betty A Stevens | Nurse Practitioner | 12416 Prairie Wind Trl, Moreno Valley, CA 92555-5405 | 2006-11-29 |
| 1457969032 | Heain Aung | Nurse Practitioner | 26520 Cactus Ave Ste A2006, Moreno Valley, CA 92555-3927 | 2020-07-20 |
| 1033773379 | Holly Vanderhyde | Nurse Practitioner | 12364 Perris Blvd, Moreno Valley, CA 92557-7423 | 2019-04-23 |
| 1346706561 | Courtney Renee Moore | Nurse Practitioner | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2019-02-12 |
| 1639633084 | Ian William Kirby | Nurse Practitioner | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2019-01-29 |
| 1932671567 | Sherri Grace Myung | Nurse Practitioner | 14114 Business Center Dr Ste D, Moreno Valley, CA 92553-9113 | 2018-12-20 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on SIBONISIWE MOYO JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.