Samantha Jo Johnson, NP - Medicare Nurse Practitioner in Loma Linda, CA

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Samantha Jo Johnson, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Loma Linda, California. Her current practice location is 11370 Anderson St, Suite 2050, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-2799.

Samantha Jo Johnson is licensed to practice in California (license number 19464) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821324765.

Contact Information

Samantha Jo Johnson, NP
11370 Anderson St, Suite 2050,
Loma Linda, CA 92354-3450
(909) 558-2799
(909) 558-2704

Map and Direction




Provider's Profile

Full NameSamantha Jo Johnson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location11370 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821324765
  • Provider Enumeration Date: 10/28/2009
  • Last Update Date: 07/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3375685613
  • Enrollment ID: I20100125000287

Medical Identifiers

Medical identifiers for Samantha Jo Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821324765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 19464 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Jo Johnson allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Jo Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Jo Johnson, NP
11370 Anderson St, Suite 2050,
Loma Linda, CA 92354-3450

Ph: (909) 558-2799		Samantha Jo Johnson, NP
11370 Anderson St, Suite 2050,
Loma Linda, CA 92354-3450

Ph: (909) 558-2799

Reviews and Comments


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Holly Cornejo, FNP-C
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Phone: 909-825-7084    Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP
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Krista Smith,
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Phone: 909-825-7084    
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP
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Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354
Phone: 909-558-5844    Fax: 909-558-7873
Kristina Pulliam Markey, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354
Phone: 909-558-5967    
Lauren Trajano,
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Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.