Active NPI
Daniel Adams Johnson, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1063610723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G87911
- Practice address
- 1581 E Temple Way
#201
Los Angeles, CA 90024-5807 - Phone
- (310) 924-2950
- Fax
- (310) 474-1839
- NPI assigned
- Jul 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G87911 | CA | Primary |
| Pediatrics Physician | 208000000X | 155364-1205 | UT |
Addresses
Primary practice location
1581 E Temple Way
#201
Los Angeles, CA 90024-5807
Mailing address
1581 E Temple Way
#201
Los Angeles, CA 90024-5807
Phone (310) 924-2950
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87911 | CA | MD | Pediatrics Physician |
| 155364-1205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063610723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 E TEMPLE WAY",
"address_2": "#201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245807",
"telephone_number": "310-924-2950",
"fax_number": "310-474-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1581 E TEMPLE WAY",
"address_2": "#201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245807",
"telephone_number": "310-924-2950",
"fax_number": "310-474-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANIEL",
"middle_name": "ADAMS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G87911",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "155364-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.