Active NPI
Darin Eric Johnson, PA-C
- Surgical Physician Assistant
- Laguna Hills, CA
National Provider Identifier
1235295254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA17664
- Practice address
- 23961 Calle de la Magdalena Ave
Suite 504
Laguna Hills, CA 92653-3665 - Phone
- (949) 588-5800
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA17664 | CA | Primary |
Addresses
Primary practice location
23961 Calle de la Magdalena Ave
Suite 504
Laguna Hills, CA 92653-3665
Mailing address
6 Calle Merecida
San Clemente, CA 92673-6847
Phone (949) 282-7540
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16300 Sand Canyon Ave
Suite 511
Irvine, CA 92618-3705
Phone (714) 634-4567
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17664 | CA | MD | Speech-Language Pathologist |
| PA17664 | CA | MD | Surgical Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- darin.johnsonpac.p1@direct.osiortho.nextgenshare.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Orange, CA
- NPI 1336228832
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1235295254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CALLE MERECIDA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736847",
"telephone_number": "949-282-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA AVE",
"address_2": "SUITE 504",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533665",
"telephone_number": "949-588-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DARIN",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA17664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.