DR. Gary Ronald Johnson, M.D. is a general practice in San Andreas, CA with 51 years of experience. DR. Gary Ronald Johnson, M.D. NPI is 1114013513. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1973
The provider's business location address is:
588 W. ST.CHARLES STREET
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 754-1851
Fax: (209) 754-0231
The NPI 1114013513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D0862377 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Pneumococcal vaccine for injection into muscle (HCPCS:90670)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Destruction of 2-14 skin growths (HCPCS:17003)
- Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- Destruction of skin growth (HCPCS:17000)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/7/2014.