Individual provider Active NPI

Seema Misser Johnston, M.D.

  • Internal Medicine Physician
  • Redondo Beach, CA
National Provider Identifier
1215378245
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A138845 Issued in CA
Practice address
520 N Prospect Ave Ste 103
Redondo Beach, CA 90277-3033
Phone
(310) 376-8816
NPI assigned
Jul 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A138845 CA Primary

Addresses

Primary practice location

520 N Prospect Ave Ste 103
Redondo Beach, CA 90277-3033

Mailing address

2382 Crenshaw Blvd Ste 5
Torrance, CA 90501-3333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smisser645174@oc.providencedirect.org

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
I20161024001861 CA Practitioner - Internal Medicine 4183923154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

520 N Prospect Ave
Suite 103
Redondo Beach, CA 90277-3033
Phone (310) 376-8816

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138845CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients

Locations

520 N Prospect Ave
Redondo Beach, CA 90277
Phone (310) 376-8816

520 N Prospect Ave
Ste 103
Redondo Beach, CA 90277
Phone (310) 374-9646

520 N Prospect Ave
Ste 102
Redondo Beach, CA 90277
Phone (310) 318-9992

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 3

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": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1215378245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 CRENSHAW BLVD STE 5",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE STE 103",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773033",
            "telephone_number": "310-376-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SEEMA",
        "middle_name": "MISSER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A138845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smisser645174@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "520 N Prospect Ave Ste 103",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902773033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.