Organization Active NPI

Phil Johnson Gen PTR

Doing business as Foot Solutions

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1053321331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHIL JOHNSON GEN PTR
Doing business as
Foot Solutions
Practice address
3540 Riverside Plaza Dr
Suite 306
Riverside, CA 92506-2709
Phone
(951) 682-1311
Fax
(951) 682-0111
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William R Johnson
Title
Owner
Phone
(951) 682-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3540 Riverside Plaza Dr
Suite 306
Riverside, CA 92506-2709

Mailing address

3540 Riverside Plaza Dr
Suite 306
Riverside, CA 92506-2709
Phone (951) 682-1311

Other names 1

  • FOOT SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

Locations

3540 Riverside Plaza Dr
Ste 306
Riverside, CA 92506
Phone (951) 682-1311

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053321331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 RIVERSIDE PLAZA DR",
            "address_2": "SUITE 306",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062709",
            "telephone_number": "951-682-1311",
            "fax_number": "951-682-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 RIVERSIDE PLAZA DR",
            "address_2": "SUITE 306",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062709",
            "telephone_number": "951-682-1311",
            "fax_number": "951-682-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL JOHNSON GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-682-1311"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.