Individual provider Active NPI

John O Johnson, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1073565792
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G59632 Issued in CA
Practice address
150 W Washington St
San Diego, CA 92103-2005
Phone
(619) 295-9729
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G59632 CA Primary

Addresses

Primary practice location

150 W Washington St
San Diego, CA 92103-2005

Mailing address

150 W Washington St
San Diego, CA 92103-2005

Other identifiers 1

IdentifierTypeStateIssuer
00G596320MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imaging_healthcare_specialists@direct.sdhealthconnect.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040720001177 CA Practitioner - Diagnostic Radiology 0446163620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

12620 Monte Vista Rd
Suite a
Poway, CA 92064-2531
Phone (858) 487-9729

150 W Washington St
San Diego, CA 92103-2005
Phone (619) 295-9729

2427 Transportation Ave
National City, CA 91950-6664
Phone (858) 658-6500

3939 Ruffin Rd
Suite 102
San Diego, CA 92123-1804
Phone (858) 658-6500

4077 5TH Ave
FL 1
San Diego, CA 92103-2105
Phone (619) 294-8111

477 N El Camino Real
Suite A102
Encinitas, CA 92024-1329
Phone (760) 452-7150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.17 of 100Reported as group
Quality
0
Improvement activities
20
Cost
77.33

Merit-based Incentive Payment System (MIPS)

Final score
72.92 of 100Reported as group
Quality
59.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59632CAMDDiagnostic Radiology Physician
59632CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Apr 24, 2015 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jun 1, 2025 Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Open Air MRI Centers Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

1200 Garden View Rd
Ste 110
Encinitas, CA 92024
Phone (760) 753-8600

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

25150 Hancock Ave
Ste 105
Murrieta, CA 92562
Phone (951) 412-0228

2427 Transportation Ave
National City, CA 91950

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

3909 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 631-3500

1801 W Olympic Blvd
#1317
Pasadena, CA 91199

1801 W Olympic Blvd
Pasadena, CA 91199

1801 W Olympic Blvd
#1315
Pasadena, CA 91199

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4077 5th Ave
Fl 1
San Diego, CA 92103
Phone (619) 294-8111

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

501 Washington St
Ste 510
San Diego, CA 92103
Phone (619) 819-6501

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

550 Washington St
Ste 200
San Diego, CA 92103
Phone (619) 260-7225

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

1809 National Ave
Ste 2104
San Diego, CA 92113

1000 Vale Terrace Dr
Vista, CA 92084
Phone (760) 407-1220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jjohnson36330@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1073565792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "619-295-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G59632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G596320",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imaging_healthcare_specialists@direct.sdhealthconnect.org",
            "affiliation": "N",
            "address_1": "150 W Washington St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921032005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.