Angela Johansson, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4233 Issued in AZ

Practice address

15351 W Bell Rd
Surprise, AZ 85374-4580

Phone

(877) 809-5092

Fax

(623) 214-5231

NPI assigned

Jun 9, 2005

Last updated

Feb 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pediatric Medicine

Education

Mid West Medical College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adelante Healthcare, Inc.

  dba Adelante Healthcare-Wickenburg

  • Federally Qualified Health Center (FQHC)
  • Wickenburg, AZ
  • NPI 1083772545

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Adelante Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1528126133

  Family Medicine

  NPD
• Adelante Healthcare, Inc.

  dba Adelante Healthcare-Surprise

  • Federally Qualified Health Center (FQHC)
  • Surprise, AZ
  • NPI 1205994761

  Family Medicine

  NPD (past)
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1295739985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15351 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744580",
            "telephone_number": "877-809-5092",
            "fax_number": "623-214-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15351 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744580",
            "telephone_number": "877-809-5092",
            "fax_number": "623-214-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSSON",
        "first_name": "ANGELA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "4233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4233",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew O. Jensen, DMD
• Travis Steven Jensen, DPM
• Naomi Nicole Jimenez, NP
• Gene Jiongco, PHARMD
• JMJ Enterpise LLC (JMJ Faithful Care Service)
• John Y Kim DDS, PC
• Abimbola Johnson, PHARM.D.
• Beuresa K. Johnson
• Brady James Johnson, DC
• Diane Nicole Johnson, PA-C

• Pediatrics Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.

Verify at the official NPI Registry.