Individual provider Active NPI

Veassa Gail Johnson, M.D

  • Internal Medicine Physician
  • Harbor City, CA
National Provider Identifier
1346308756
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32489 Issued in CA
Practice address
1403 Lomita Blvd Ste 301
Harbor City, CA 90710-2085
Phone
(424) 263-5260
Fax
(424) 263-5268
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G32489 CA Primary

Addresses

Primary practice location

1403 Lomita Blvd Ste 301
Harbor City, CA 90710-2085

Mailing address

4760 S Figueroa St
Los Angeles, CA 90037-3159
Phone (323) 232-2601

Other practice location 1

4760 S Figueroa St
Los Angeles, CA 90037-3159
Phone (323) 232-2601

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
I20111221000407 CA Practitioner - Internal Medicine 7911173992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Health Care a Professional Medical CorporationGroup PAC ID 2365484045, 2 clinicians

Practice addresses (Care Compare)

4760 S Figueroa St
Los Angeles, CA 90037-3159
Phone (323) 232-2601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G32489CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Health System Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1346308756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373159",
            "telephone_number": "323-232-2601",
            "fax_number": "323-232-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 301",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "424-263-5260",
            "fax_number": "424-263-5268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900373159",
            "country_code": "US",
            "telephone_number": "323-232-2601",
            "fax_number": "323-232-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VEASSA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.