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GARY ANDREW JOHANSON M.D. NPI 1215043229


NPI Information

NPI: 1215043229
Provider Name: GARY ANDREW JOHANSON, M.D.
Classification: Family Medicine - 207QH0002X
Entity Type: Individual

Specialization: Hospice and Palliative Medicine

PECOS Registration: Yes

Address:
500 DOYLE PARK DR
SUITE G04
SANTA ROSA, CA
ZIP 95405
Phone: (707) 573-8984
Get Directions

Gary Andrew Johanson, M.D. is a hospice and palliative medicine family medicine in Santa Rosa, CA. The provider is a family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. Gary Andrew Johanson, M.D. NPI is 1215043229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 DOYLE PARK DR
SUITE G04
SANTA ROSA, CA
ZIP 95405-558
Phone: (707) 573-8984
Fax: (707) 573-0982

The NPI 1215043229 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 enumeration date for this NPI number is 8/22/2006 and was last updated on 11/3/2021.


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
1207Q00000XFamily MedicineG32438CALIFORNIANo
2207QH0002XFamily MedicineHospice and Palliative MedicineG32438CALIFORNIAYes

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
1680479679OTHERCALIFORNIATAX ID
233-0185031OTHERCALIFORNIATAX ID# AS OF 9/1/2010

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.