Individual provider Active NPI

Brittany M Johnson, P.A.

  • Medical Physician Assistant
  • Temecula, CA
National Provider Identifier
1003233735
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA23181 Issued in CA
Practice address
31537 Rancho Pueblo Rd
Suite 105
Temecula, CA 92592-4857
Phone
(951) 699-0848
Fax
(951) 699-0509
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA23181 CA Primary

Addresses

Primary practice location

31537 Rancho Pueblo Rd
Suite 105
Temecula, CA 92592-4857

Mailing address

31537 Rancho Pueblo Rd
Suite 105
Temecula, CA 92592-4857
Phone (951) 699-0848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
23181CAMDClinical Neuropsychologist
PA23181CAMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1003233735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31537 RANCHO PUEBLO RD",
            "address_2": "SUITE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924857",
            "telephone_number": "951-699-0848",
            "fax_number": "951-699-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31537 RANCHO PUEBLO RD",
            "address_2": "SUITE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924857",
            "telephone_number": "951-699-0848",
            "fax_number": "951-699-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA23181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.