Active NPI
Dana Johnson, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3293
- Practice address
- 19636 N 27TH Ave
Phoenix, AZ 85027-4013 - Phone
- (623) 780-1999
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3293 | AZ | Primary |
Addresses
Primary practice location
19636 N 27TH Ave
Phoenix, AZ 85027-4013
Mailing address
PO Box 15070
Scottsdale, AZ 85267-5070
Phone (602) 839-6968
Other practice location 1
1300 N 12th St
Suite 301
Phoenix, AZ 85006-2848
Phone (602) 839-6968
Other practice location 2
4029 Dean Martin Dr Ste 100
Las Vegas, NV 89103-4138
Phone (702) 848-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100
Hospital & facility affiliations
- Honorhealth Deer Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3293 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity - Arizona Hospitalists PC | Current | Accepting new patients | |
| Cep America-Arizona, PC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Emergency Professional Services PC | Physician Assistant | Current | Accepting new patients |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients |
Locations
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968
9305 W Thomas Rd
Ste 405
Phoenix, AZ 85037
Phone (623) 327-7900
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Organizations & group practices 11
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1770109704
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1780202804
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Emergency Medicine Physician
- Sun City, AZ
- NPI 1124491477
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
Physician Assistant
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1912629916
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1104851914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15070",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852675070",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19636 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274013",
"telephone_number": "623-780-1999"
}
],
"practiceLocations": [
{
"address_1": "1300 N 12th St",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062848",
"country_code": "US",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4029 Dean Martin Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891034138",
"country_code": "US",
"telephone_number": "702-848-2256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.