Individual provider Active NPI

Mollie Maureen Johnston, M.D.

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1093981276
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A107991 Issued in CA
Practice address
300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-0001
Phone
(310) 794-1195
Fax
(310) 794-7491
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A107991 CA
Neurology Physician 2084N0400X A107991 CA Primary

Addresses

Primary practice location

300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1090 Glendon Ave
Los Angeles, CA 90024-2908
Phone (310) 209-6500

Other practice location 2

100 Ucla Medical Plz Ste 425
Los Angeles, CA 90024-6999
Phone (310) 794-1195

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
I20110623000463 CA Practitioner - Neurology 6103004098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Minnesota Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500

150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989

200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931

300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195

300 Medical PLZ
Los Angeles, CA 90095-0001

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Quality
86.41
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107991CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurology CurrentSince Jun 1, 2011 Accepting new patients
The Regents of the University of California CurrentSince Jun 1, 2011 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients

Locations

1090 Glendon Ave
Los Angeles, CA 90024
Phone (310) 209-6500

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-1459

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 UCLA Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 825-4989

100 UCLA Medical Plz
Ste 425
Los Angeles, CA 90024
Phone (310) 206-3022

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1801 Wilshire Blvd
#100
Santa Monica, CA 90403
Phone (310) 319-5098

Interoperability endpoints

  • Direct secure messaging: mjohnston38039@direct.uclahealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1093981276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UCLA MEDICAL PLZ STE B200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-794-1195",
            "fax_number": "310-794-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Glendon Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900242908",
            "country_code": "US",
            "telephone_number": "310-209-6500",
            "fax_number": "310-209-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ucla Medical Plz Ste 425",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900246999",
            "country_code": "US",
            "telephone_number": "310-794-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MOLLIE",
        "middle_name": "MAUREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A107991",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A107991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.