Organization Active NPI

Johnston Lim Co, MD a Medical Corporation

  • Occupational Medicine Physician
  • Tracy, CA
National Provider Identifier
1285493155
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
JOHNSTON LIM CO, MD A MEDICAL CORPORATION
Practice address
2156 West Grant Line Road
Suite 200
Tracy, CA 95377-7336
Phone
(209) 207-9969
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Johnston Co, M.D.NPI 1114044096
Title
President
Phone
(209) 207-9969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

2156 West Grant Line Road
Suite 200
Tracy, CA 95377-7336

Mailing address

2156 West Grant Line Road
Suite 200
Tracy, CA 95377-7336
Phone (209) 207-9969

Other names 1

  • Co Occupational Medical Partners Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2194804Co Occupational Medical Partners2156 W Grant Line Rd #200, Tracy, CA 95377Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Locations

2156 W Grant Line Rd
Ste 200
Tracy, CA 95377
Phone (209) 207-9969

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1285493155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 WEST GRANT LINE ROAD",
            "address_2": "SUITE 200",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777336",
            "telephone_number": "209-207-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 WEST GRANT LINE ROAD",
            "address_2": "SUITE 200",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777336",
            "telephone_number": "209-207-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON LIM CO, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "JOHNSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-207-9969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Co Occupational Medical Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.