Helen V & Fred Johnson

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

HELEN V & FRED JOHNSON

Doing business as

Lake County Anesthesia Medical Asso

Practice address

5176 Hill Rd E
Lakeport, CA 95453-6300

Phone

(707) 262-5000

NPI assigned

Feb 11, 2007

Last updated

Jun 30, 2008By 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

Dr. Frederick L Johnson, M.D.

Title

President

Phone

(818) 550-0900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lake County Anesthesia Medical Asso Doing business as

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1073654000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912090951",
            "telephone_number": "818-550-0900",
            "fax_number": "818-550-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-262-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN V & FRED JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-550-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ60330Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Anesthesia Medical Asso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James M Hagan, DPM
• Jodi Hansen
• Katherine Claire Harris, PUBLIC HEALTH NURSE
• Laura Ann Harris
• Lori Heagerty, LMFT
• Kayla Hendrix
• Heather Henry
• Abigail Henson
• Katrina Hickey
• Courtne Hill

• Anesthesiology Physician in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.