Individual provider Active NPI

Christopher M Johnson, R.N., F.N.P., P.A.

  • Primary Care Nurse Practitioner
  • Yuba City, CA
National Provider Identifier
1356334221
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4964 Issued in CA
Practice address
3055 Muir Rd
Yuba City, CA 95991-9103
Phone
(530) 218-5861
Fax
(844) 268-7287
NPI assigned
Aug 25, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13576 CA
Primary Care Nurse Practitioner 363LP2300X 4964 CA Primary

Addresses

Primary practice location

3055 Muir Rd
Yuba City, CA 95991-9103

Mailing address

395 Del Norte Ave
Yuba City, CA 95991-4121
Phone (530) 755-0856

Other practice location 1

1584 Highway 99
Gridley, CA 95948-3121
Phone (530) 797-9292

Other practice location 2

2288 Auburn Blvd Ste 106
Sacramento, CA 95821-1619
Phone (916) 568-8338

Other identifiers 1

IdentifierTypeStateIssuer
NP0049640MedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815004496 CA Practitioner - Physician Assistant 2567373962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4964CAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Associates Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356334221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914121",
            "telephone_number": "530-755-0856",
            "fax_number": "530-755-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 MUIR RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959919103",
            "telephone_number": "530-218-5861",
            "fax_number": "844-268-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1584 Highway 99",
            "address_purpose": "LOCATION",
            "city": "Gridley",
            "state": "CA",
            "postal_code": "959483121",
            "country_code": "US",
            "telephone_number": "530-797-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2288 Auburn Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958211619",
            "country_code": "US",
            "telephone_number": "916-568-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "R.N., F.N.P.,  P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13576",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "4964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0049640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.