Yeh Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

22116 Issued in CA

Practice address

4150 Patterson Road
Riverbank, CA 95367-9536

Phone

(209) 863-3990

Fax

(209) 863-3999

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

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.

• Pine Ridge Indian Health Service Hospital

  dba Pine Ridge IHS Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment
• Tiburcio Vasquez Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1407373921
  NPD
• Tiburcio Vasquez Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1790256808
  NPD
• Pine Ridge Indian Health Service Hospital

  dba LaCreek District Clinic

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• Cardiology Clinic of Muskogee, Inc.

  dba CCOM Medical Group, Inc.

  • Internal Medicine Physician
  • Muskogee, OK
  • NPI 1053380287
  NPD (past)
• Oklahoma Pain & Rehab LLC

  • Sports Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
  • NPI 1013207505
  NPD (past)
• Sun Valley Urgent Care

  • Family Medicine Physician
  • Goodyear, AZ
  • NPI 1093858003
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164460549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-384-6488",
            "fax_number": "855-202-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 PATTERSON ROAD",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953679536",
            "telephone_number": "209-863-3990",
            "fax_number": "209-863-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 N Litchfield Rd",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957800",
            "country_code": "US",
            "telephone_number": "623-218-6907",
            "fax_number": "623-225-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "YEH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Johnson
• Kara Marisa Johnson
• Kaylee Johnson
• Nevaeh Johnson
• Victoria Rose Michiko Johnson
• Jasmine Rose Jojola
• Christian Jones Burdeaux
• Arabella Jones
• Joeshanay Jones
• Robyn Jones, M.S.

• Physician Assistant in Riverbank, CA
• Providers in Riverbank, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.