Frederick L Johnson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A556180 Issued in CA

Practice address

987 Parallel Dr
Lakeport, CA 95453-5702

Phone

(707) 263-7428

Fax

(707) 263-7425

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Anesthesiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Anesthesia Services PCGroup PAC ID 1951818350, 8 clinicians

Core Anesthesia Provider Services PCGroup PAC ID 7719367093, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.37 of 100Reported as group

Quality

79.1

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Core Anesthesia Provider Services PC

  • Anesthesiology Physician
  • Stockton, CA
  • NPI 1538800388
  Medicare reassignment Care Compare group NPD
• Core Anesthesia Services PC

  • Anesthesiology Physician
  • Stockton, CA
  • NPI 1952294969
  Medicare reassignment Care Compare group NPD
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  Medicare reassignment NPD
• Bear Creek Anesthesia Medical Group

  • Anesthesiology Physician
  • Merced, CA
  • NPI 1154389146
  Medicare reassignment NPD
• Premiercare Anesthesia Fountain Valley Inc

  • Anesthesiology Physician
  • Fountain Valley, CA
  • NPI 1831536531
  Medicare reassignment NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1104983360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535702",
            "telephone_number": "707-263-7428",
            "fax_number": "707-263-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535702",
            "telephone_number": "707-263-7428",
            "fax_number": "707-263-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FREDERICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A556180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A556180",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A556180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A55618",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN2480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Jensen, RRT
• Christina Jimenez
• Christian Kenshin Job
• Cassandra Marie Johnson
• Deborah Suzanne Johnson, LCSW
• Helen Vernetta Johnson, M.D.
• Sharie Johnson
• Robert Charles Jolin, D.C.
• Jonathan M Drew DDS Inc
• Jonathan W.R. Davies

• 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 May 20, 2019; 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.

Verify at the official NPI Registry.