Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sibonisiwe Moyo Johnson, NP

Individual provider Nurse Practitioner · NPI 1255872719

Sibonisiwe Moyo Johnson, NP is a Nurse Practitioner in Moreno Valley, California. Qualified in 2016, 10 years ago. Practices with Mission Grove Medical Corporation, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

22555 Alessandro Blvd Ste B
Moreno Valley, CA 92553
Phone: (951) 656-7081
Fax: (951) 656-1710
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16152 St Antony Ln, Fontana, CA 92336 — (626) 354-4036
  • 16152 St Antony Ln, Fontana, CA 92336 — (626) 354-4036

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95005225 (CA)

Record details

NPI number1255872719
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESOctober 9, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mission Grove Medical Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moreno Valley