Active NPI
California Occupational Medicine Practice Inc
- General Practice Physician
- Selma, CA
National Provider Identifier
1306988746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A79547
- Legal business name
- CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC
- Practice address
- 1142 Rose Avenue
Selma, CA 93662 - Phone
- (559) 891-8940
- NPI assigned
- Feb 13, 2007
- Last updated
- Sep 11, 2025
- 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
- Marc Douglass Johnson, MD
- Title
- Ceo
- Phone
- (831) 901-6856
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | A79547 | CA | |
| Occupational Medicine Physician | 2083X0100X | A79547 | CA | |
| General Practice Physician | 208D00000X | A79547 | CA | Primary |
Addresses
Primary practice location
1142 Rose Avenue
Selma, CA 93662
Mailing address
PO Box 52060
Pacific Grove, CA 93950
Phone (831) 901-6856
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1306988746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52060",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "93950",
"telephone_number": "831-901-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 ROSE AVENUE",
"city": "SELMA",
"state": "CA",
"postal_code": "93662",
"telephone_number": "559-891-8940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "DOUGLASS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "831-901-6856",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": "CA",
"license": "A79547",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A79547",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A79547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.