DR. MEADE BEASLEY JOHNSON M.D. NPI 1255375705

NPI Information

NPI: 1255375705
Provider Name: DR. MEADE BEASLEY JOHNSON, M.D.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
1520 SAN PABLO ST
STE. 1600
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-7450
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DR. Meade Beasley Johnson, M.D. is a body imaging radiology in Los Angeles, CA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Meade Beasley Johnson, M.D. NPI is 1255375705. 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:

1520 SAN PABLO ST
STE. 1600
LOS ANGELES, CA
ZIP 90033-310
Phone: (323) 442-7450

The enumeration date for this NPI number is 6/15/2006 and was last updated on 11/30/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	G45908	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G459080	OTHER	CALIFORNIA	BLUE SHIELD
2	WG45908H	MEDICARE PIN	CALIFORNIA
3	WG45908G	MEDICARE PIN	CALIFORNIA
4	WG45908K	MEDICARE PIN	CALIFORNIA
5	WG45908E	MEDICARE PIN	CALIFORNIA
6	A50228	MEDICARE UPIN	CALIFORNIA
7	WG45908L	MEDICARE PIN	CALIFORNIA
8	WG45908D	MEDICARE PIN	CALIFORNIA
9	00G459080	MEDICAID	CALIFORNIA
10	00G459080G56	OTHER	CALIFORNIA	CAL OPTIMA

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

NPI Synchronization or Removal

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