Individual provider Active NPI

Johnson Low

  • Non-emergency Medical Transport (VAN)
  • Fullerton, CA
National Provider Identifier
1366223174
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
582671 Issued in CA
Practice address
2501 E Chapman Ave Ste 107
Fullerton, CA 92831-3135
Phone
(310) 922-6050
Fax
(714) 385-8155
NPI assigned
Oct 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 582671 CA Primary

Addresses

Primary practice location

2501 E Chapman Ave Ste 107
Fullerton, CA 92831-3135

Mailing address

2501 E Chapman Ave Ste 107
Fullerton, CA 92831-3135
Phone (310) 922-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
582671CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1366223174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE STE 107",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313135",
            "telephone_number": "310-922-6050",
            "fax_number": "714-385-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE STE 107",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313135",
            "telephone_number": "310-922-6050",
            "fax_number": "714-385-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "JOHNSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "582671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.