Individual provider Active NPI

Adam Johnson, M.D.

  • Emergency Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1154777415
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A158728 Issued in CA
Practice address
1700 Mount Vernon Ave
Kern Medical - Emergency Department
Bakersfield, CA 93306-4018
Phone
(661) 326-2000
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A158728 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Kern Medical - Emergency Department
Bakersfield, CA 93306-4018

Mailing address

1700 Mount Vernon Ave
Kern Medical - Emergency Department
Bakersfield, CA 93306-4018
Phone (661) 326-2000

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
I20200117000284 CA Practitioner - Emergency Medicine 1052746104 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158728CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Nov 18, 2019 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jul 12, 2023 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Nov 18, 2019 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine Current Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 15, 2021 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1154777415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "KERN MEDICAL - EMERGENCY DEPARTMENT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "KERN MEDICAL - EMERGENCY DEPARTMENT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A158728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.