Individual provider Active NPI

Helen Vernetta Johnson, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lakeport, CA
National Provider Identifier
1316006299
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G82139 Issued in CA
Practice address
987 Parallel Dr
Suite 104
Lakeport, CA 95453-5702
Phone
(707) 263-7428
Fax
(707) 263-7425
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G82139 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X G82139 CA Primary

Addresses

Primary practice location

987 Parallel Dr
Suite 104
Lakeport, CA 95453-5702

Mailing address

987 Parallel Dr
Suite 104
Lakeport, CA 95453-5702
Phone (707) 263-7428

Other identifiers 2

IdentifierTypeStateIssuer
G82139OtherCALICENSE
00G821390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20040717000411 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3375522857 Reassigns benefits to 5 organizations
Practice locations: Lakeport, CA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Meharry Medical College School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

Merit-based Incentive Payment System (MIPS)

Final score
97.37 of 100Reported as group
Quality
79.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G82139CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Anesthesia Provider Services PC Anesthesiology CurrentSince Dec 3, 2023 Accepting new patients
Bear Creek Anesthesia Medical Group Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Mar 18, 2024 Accepting new patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Dec 15, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 25, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 25, 2024 Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

2740 M St
Merced, CA 95340
Phone (209) 384-6444

1334 Nelson Ave
Modesto, CA 95350
Phone (209) 524-9904

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

3850 Geer Rd
Turlock, CA 95382
Phone (209) 668-9866

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Interoperability endpoints

  • Direct secure messaging: hjohnson194575@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1316006299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 PARALLEL DR",
            "address_2": "SUITE 104",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535702",
            "telephone_number": "707-263-7428",
            "fax_number": "707-263-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 PARALLEL DR",
            "address_2": "SUITE 104",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535702",
            "telephone_number": "707-263-7428",
            "fax_number": "707-263-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HELEN",
        "middle_name": "VERNETTA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G82139",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G82139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G82139",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G821390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.