Kenneth Burton Johnson, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A79802 Issued in CA

Practice address

769 Medical Center CT
Suite 202
Chula Vista, CA 91911-6660

Phone

(619) 482-8430

Fax

(619) 482-8005

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology

Education

Georgetown University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marilyn S. Norton M.D., Inc.Group PAC ID 1658348883, 2 clinicians

Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Hospice Services of San Diego LLC Hospice, San Diego, CA, CCN 551652
• Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment Care Compare group NPD
• Marilyn S. Norton M.D., Inc.

  dba South County Hematology Oncology, Inc.

  • Hematology & Oncology Physician
  • Chula Vista, CA
  • NPI 1326124819
  Medicare reassignment Care Compare group
• Sharp Chula Vista Medical Center

  dba Birch Patrick Convalescent Center

  • Skilled Nursing Facility
  • Chula Vista, CA
  • NPI 1538142369
  NPD (past)
• Sharp Memorial Hospital

  dba Sharp Allison deRose Rehabilitation Center

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mission Hospice Services of San Diego, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1245521269
  Care Compare affiliation
• Sharp Chula Vista Medical Center

  • General Acute Care Hospital
  • Chula Vista, CA
  • NPI 1396728630
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1063527711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT",
            "address_2": "SUITE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116660",
            "telephone_number": "619-482-8430",
            "fax_number": "619-482-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT",
            "address_2": "SUITE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116660",
            "telephone_number": "619-482-8430",
            "fax_number": "619-482-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENNETH",
        "middle_name": "BURTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A79802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Johnson
• Erica Johnson
• Faith Arcellia Johnson
• Frederick G. Johnson, M.D.
• Jason Johnson
• Kimberly Ann Johnson, NP
• Mark Yarwood Johnson, M.D.
• Raquel Z Johnson
• Robin Johnson
• Sarah Johnson, M.S., M.S.

• Hematology & Oncology Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.