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SUSAN RIDEOUT JOHNSON MD NPI 1083828297


NPI Information

NPI: 1083828297
Provider Name: SUSAN RIDEOUT JOHNSON, MD
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Address:
54 WEST GRASS VALLEY STREET
COLFAX, CA
ZIP 95713
Phone: (916) 638-8758
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Susan Rideout Johnson, MD is a developmental - behavioral pediatrics pediatrics in Colfax, CA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Susan Rideout Johnson, MD NPI is 1083828297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

54 WEST GRASS VALLEY STREET
COLFAX, CA
ZIP 95713-463
Phone: (916) 638-8758

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsG59919CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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