Active NPI
Kenneth S. Johnson, M.D. a Medical Corporation
- Anesthesiology Physician
- La Mirada, CA
National Provider Identifier
1275952483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A43322
- Legal business name
- KENNETH S. JOHNSON, M.D. A MEDICAL CORPORATION
- Practice address
- 14900 Imperial Hwy
La Mirada, CA 90638-2172 - Phone
- (562) 944-1900
- NPI assigned
- Apr 15, 2014
- 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
- Kenneth S Johnson, M.D.
- Title
- President
- Phone
- (562) 407-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A43322 | CA | Primary |
Addresses
Primary practice location
14900 Imperial Hwy
La Mirada, CA 90638-2172
Mailing address
14120 Alondra Blvd Ste C
Santa Fe Springs, CA 90670-5842
Phone (562) 407-2080
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397520000000",
"number": "1275952483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14120 ALONDRA BLVD STE C",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906705842",
"telephone_number": "562-407-2080",
"fax_number": "562-407-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382172",
"telephone_number": "562-944-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH S. JOHNSON, M.D. A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-407-2080",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A43322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.