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RICHARD G JOHNSON MD INC NPI 1689694523


NPI Information

NPI: 1689694523
Provider Name: RICHARD G JOHNSON MD INC

Former Legal Business Name: RICHARD G JOHNSON MD INC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
415 W CARROLL AVE
STE 100
GLENDORA, CA
ZIP 91741
Phone: (626) 914-5219
Get Directions

RICHARD G JOHNSON MD INC is a specialist in Glendora, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RICHARD G JOHNSON MD INC NPI is 1689694523. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Richard G Johnson Md Inc.

The provider's business location address is:

415 W CARROLL AVE
STE 100
GLENDORA, CA
ZIP 91741-208
Phone: (626) 914-5219
Fax: (626) 914-7846

The provider's authorized official is Richard Greene Johnson .
The authorized official title is Owner and has the following contact phone number (626) 914-5219.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/10/2009.


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
1174400000XSpecialistG45973CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WA46488FOTHERCALIFORNIAINDIVIDUAL MEDICARE ID
2WG45973EOTHERCALIFORNIAINDIVIDUAL MEDICARE ID
3F28829MEDICARE UPINCALIFORNIA
4W11755MEDICARE PINCALIFORNIA
5ZZZ15382ZMEDICARE PINCALIFORNIA
6WA46604AOTHERCALIFORNIAINDIVIDUAL MEDICARE ID
7WA61696AOTHERCALIFORNIAINDIVIDUAL MEDICARE ID
8A92616MEDICARE UPINCALIFORNIA
900A616960MEDICAIDCALIFORNIA
10110086507OTHERCALIFORNIARAILROAD MEDICARE
11A76759MEDICARE UPINCALIFORNIA
12H41866MEDICARE UPINCALIFORNIA
1300A464880MEDICAIDCALIFORNIA
1400A466040MEDICAIDCALIFORNIA
1500G459730MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.