Active NPI
Johnson He
- Registered Respiratory Therapist
- Anaheim, CA
National Provider Identifier
1114794534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 33790
- Practice address
- 2441 W la Palma Ave # 140
Anaheim, CA 92801-2658 - Phone
- (714) 774-7777
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 33790 | CA | Primary |
Addresses
Primary practice location
2441 W la Palma Ave # 140
Anaheim, CA 92801-2658
Mailing address
728 Dawson Dr
Pomona, CA 91766-5767
Phone (626) 228-6339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33790 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1114794534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 DAWSON DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917665767",
"telephone_number": "626-228-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 W LA PALMA AVE # 140",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012658",
"telephone_number": "714-774-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "JOHNSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "33790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.