Michael S. Johnson Physician Assistant, Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15332 Issued in CA

Legal business name

MICHAEL S. JOHNSON PHYSICIAN ASSISTANT, INC.

Practice address

904 E Pacific Coast Hwy
Long Beach, CA 90806-5626

Phone

(562) 591-2785

Fax

(562) 591-2890

NPI assigned

Dec 14, 2012

Last updated

Dec 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Shawn Johnson, PA-CNPI 1093969537

Title

President

Phone

(562) 591-2785

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Shawn Johnson, PA

  • Physician Assistant
  • Long Beach, CA
  • NPI 1093969537
  Authorized official Same address or phone

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1396081600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065626",
            "telephone_number": "562-591-2785",
            "fax_number": "562-591-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065626",
            "telephone_number": "562-591-2785",
            "fax_number": "562-591-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. JOHNSON PHYSICIAN ASSISTANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-591-2785",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Decker, DO, Inc
• Michael E. Lieppman, M.D., Inc.
• Michael J de Luca MD Incorporated
• Michael O Liff MD Inc
• Michael P Majancsik, DC, PC
• Michael Tehrani MD Apc
• Michael Wright
• Patricia Michael
• Jonathan Gregory Harris Michaels, DPT
• Mark H Michaels, PH.D.

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.