Warren M Johnson D.P.M., Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000E12850 Issued in CA

Legal business name

WARREN M JOHNSON D.P.M., INC.

Practice address

1800 Mowry Ave
Fremont, CA 94538-1712

Phone

(510) 794-6633

Fax

(510) 794-6637

NPI assigned

Nov 5, 2010

Last updated

Nov 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren M Johnson, M.D.NPI 1457423469

Title

Owner

Phone

(510) 794-6633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren Marion Johnson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fremont, CA
  • NPI 1457423469
  Authorized official Same address or phone

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1063713121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381712",
            "telephone_number": "510-794-6633",
            "fax_number": "510-794-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381712",
            "telephone_number": "510-794-6633",
            "fax_number": "510-794-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN M JOHNSON D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-794-6633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "000E12850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.