Individual provider Active NPI

Robert Scott Johnson, M.D., J.D., LL.M.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1043505936
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
140958 Issued in CA
Practice address
4 Embarcadero Ctr
Suite 1400
San Francisco, CA 94111-4106
Phone
(415) 766-3500
NPI assigned
Jun 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P4582 TX
Psychiatry Physician 2084P0800X 261806 MA
Psychiatry Physician 2084P0800X 140958 CA Primary

Addresses

Primary practice location

4 Embarcadero Ctr
Suite 1400
San Francisco, CA 94111-4106

Mailing address

4 Embarcadero Ctr
Suite 1400
San Francisco, CA 94111-4106

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
Juris Doctor, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
140958CAMDPsychiatry Physician
261806MAMDPsychiatry Physician
P4582TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1043505936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR",
            "address_2": "SUITE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR",
            "address_2": "SUITE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114106",
            "telephone_number": "415-766-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "credential": "M.D., J.D., LL.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P4582",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "261806",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "140958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.