Active NPI
Kurt E Johnson MD a Medical Corporation
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Chico, CA
National Provider Identifier
1265596282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- G59768
- Legal business name
- KURT E JOHNSON MD A MEDICAL CORPORATION
- Practice address
- 1026 Mangrove Ave Ste 10
Chico, CA 95926-3509 - Phone
- (530) 899-9361
- Fax
- (530) 899-9841
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kurt E Johnson, M.D.
- Title
- President
- Phone
- (530) 899-9361
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | G59768 | CA | Primary |
| Family Medicine Physician | 207Q00000X | G59768 | CA |
Addresses
Primary practice location
1026 Mangrove Ave Ste 10
Chico, CA 95926-3509
Mailing address
1026 Mangrove Ave Ste 10
Chico, CA 95926-3509
Phone (530) 899-9361
Other names 1
- Chico Hyperbarics
National Provider Directory
National Provider DirectoryLocations
1026 Mangrove Ave
Chico, CA 95926
Phone (530) 899-9361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374105600000",
"number": "1265596282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 MANGROVE AVE STE 10",
"city": "CHICO",
"state": "CA",
"postal_code": "959263509",
"telephone_number": "530-899-9361",
"fax_number": "530-899-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 MANGROVE AVE STE 10",
"city": "CHICO",
"state": "CA",
"postal_code": "959263509",
"telephone_number": "530-899-9361",
"fax_number": "530-899-9841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURT E JOHNSON MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2013-07-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-899-9361",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "CA",
"license": "G59768",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G59768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chico Hyperbarics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.