California Occupational Medicine Practice Inc
Organization Active NPI General Practice Physician · Selma, CA
NPI 1306988746 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1306988746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A79547 (CA)
- 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
- Organization subpart
- No
Authorized official
- Name
- Marc Douglass Johnson, MD
- Title
- Ceo
- Phone
- (831) 901-6856
Practitioners 1
National Provider Directory
Specialties & licenses
| 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 | Yes |
Addresses
Primary practice location
1142 Rose Avenue
Selma, CA 93662
Mailing address
PO Box 52060
Pacific Grove, CA 93950
Phone (831) 901-6856
Other providers in Selma, CA
- Heather Breedlove
- Luis Emmanuel D Briones
- Jennifer Ann Burnett
- Harpreet Buttar
- Keith Bruce Butterfield
- Orlando Adrian Campos
- Marcia Cardenas
- Priscilla Carey
- Marlene G Carranza
- Aaron Jeffrey Carter
All providers in Selma, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.