NPIMap

Individual provider Active NPI

Boyd A. Johnson, D.O.

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1215015482
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7291 Issued in CA
Practice address
2431 W. Caldwell Ave
Visalia Walk - in Medical Clinic
Visalia, CA 93277
Phone
(559) 627-5555
Fax
(559) 734-4509
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7291 CA Primary

Addresses

Primary practice location

2431 W. Caldwell Ave
Visalia Walk - in Medical Clinic
Visalia, CA 93277

Mailing address

2431 W. Caldwell Ave
Visalia Walk - in Medical Clinic
Visalia, CA 93277
Phone (559) 627-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220001155 CA Practitioner - Family Practice 9638064215 Reassigns benefits to 2 organizations
Practice locations: Exeter, CA; Visalia, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visalia Walk in Medical Clinic IncGroup PAC ID 7810936705, 2 clinicians
Sequoia Multispecialty Medical GroupGroup PAC ID 2769867985, 4 clinicians

Practice addresses (Care Compare)

2431 W Caldwell Ave
Visalia, CA 93277-8084
Phone (559) 627-5555

4050 S Demaree St
Visalia, CA 93277-9476
Phone (559) 713-6478

Hospital & facility affiliations

  • Therapeutic Home Healthcare Home health agency, Fresno, CA, CCN 059426
  • Kaweah Health Home Health Home health agency, Visalia, CA, CCN 057255
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • California Home Health Home health agency, Fresno, CA, CCN 553112
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Multispecialty Medical Group Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Visalia Walk in Medical Clinic Inc Family Medicine CurrentSince Dec 12, 2008 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

2431 W Caldwell Ave
Visalia, CA 93277
Phone (559) 327-5555

4050 S Demaree St
Visalia, CA 93277
Phone (559) 302-8169

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJICD/Endpoint/IGJICD

Organizations & group practices 3

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 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1215015482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W. CALDWELL AVE",
            "address_2": "VISALIA WALK - IN MEDICAL CLINIC",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-627-5555",
            "fax_number": "559-734-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W. CALDWELL AVE",
            "address_2": "VISALIA WALK - IN MEDICAL CLINIC",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-627-5555",
            "fax_number": "559-734-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BOYD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.