Johanna Francis Dawson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA63207 Issued in CA

Practice address

1535 Eureka Rd
Roseville, CA 95661-3109

Phone

(916) 773-3376

Fax

(916) 773-3353

NPI assigned

Jul 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scott B Hearth, M.D.

  • Dermatology Physician
  • Roseville, CA
  • NPI 1548366727
  Medicare reassignment
• Trevecca Nazarene University

  • Local Education Agency (LEA)
  • Nashville, TN
  • NPI 1033407952
  NPD (past)

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1063147981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613109",
            "telephone_number": "916-773-3376",
            "fax_number": "916-773-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613109",
            "telephone_number": "916-773-3376",
            "fax_number": "916-773-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "JOHANNA",
        "middle_name": "FRANCIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA63207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayari Davis
• Yelena Davydyuk
• Dawn M Hayes (MedCare Medical Center)
• Dawn M Terashita, PC (Passport Health)
• Mariam Dawood
• James R Day, MD
• Rebecca Ann Day, CCC-SLP
• Peter Adrian Alba Daza, ADVANCED PHARMACIST
• Alfredo S Dazo, M.D.
• Sandra De Almeida Romao

• Medical Physician Assistant in Roseville, CA
• Providers in Roseville, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.