Individual provider Active NPI

Karen Reynolds Johnston, MD

  • General Practice Physician
  • Palo Alto, CA
National Provider Identifier
1326518325
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G67445 Issued in CA
Practice address
478 E Charleston Rd
Palo Alto, CA 94306-4235
Phone
(650) 380-9149
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G67445 CA
General Practice Physician 208D00000X G67445 CA Primary

Addresses

Primary practice location

478 E Charleston Rd
Palo Alto, CA 94306-4235

Mailing address

478 E Charleston Rd
Palo Alto, CA 94306-4235
Phone (650) 813-1471

Other names 1

  • Miss Karen Mutch Reynolds Former name

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
I20220818000761 CA Practitioner - Pathology 7810226420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound MD PCGroup PAC ID 8820314529, 15 clinicians

Practice addresses (Care Compare)

1100 Trousdale Dr
Burlingame, CA 94010-3207
Phone (650) 692-9674

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67445CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound MD PC General Practice CurrentSince Jun 21, 2022 Accepting new patients

Locations

2211 Mount Vernon Ave
Bakersfield, CA 93306
Phone (502) 596-7588

1100 Trousdale Dr
Burlingame, CA 94010
Phone (650) 692-1967

587 Rio Lindo Ave
Chico, CA 95926
Phone (530) 345-1306

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

12023 Lakewood Blvd
Downey, CA 90242
Phone (562) 869-0978

1340 E Madison Ave
El Cajon, CA 92021
Phone (619) 447-1020

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

1665 M St
Fresno, CA 93721
Phone (559) 268-5361

1805 West St
Hayward, CA 94545
Phone (510) 259-6733

1565 Hill Rd
Novato, CA 94947
Phone (415) 461-9700

210 40th Street Way
Oakland, CA 94611
Phone (510) 568-2041

3030 Webster St
Oakland, CA 94609
Phone (510) 250-8000

1400 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 642-1736

9020 Garfield St
Riverside, CA 92503
Phone (951) 688-8200

1209 Hemlock Way
Santa Ana, CA 92707
Phone (714) 546-1966

1311 E Date St
Sn Bernrdno, CA 92404
Phone (909) 543-5387

5800 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124

6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124

Interoperability endpoints

  • Direct secure messaging: karen.johnston.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1326518325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E CHARLESTON RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064235",
            "telephone_number": "650-813-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 E CHARLESTON RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064235",
            "telephone_number": "650-380-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KAREN",
        "middle_name": "REYNOLDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G67445",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G67445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "REYNOLDS",
            "middle_name": "MUTCH",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.