Diane L. Johnson M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G62317 Issued in CA

Legal business name

DIANE L. JOHNSON M.D. INC

Practice address

65 Pine Ave
Suite 19
Long Beach, CA 90802-4718

Phone

(714) 402-4685

Fax

(562) 856-0389

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Diane L. Johnson, M.D.

Title

President

Phone

(714) 402-4685

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Diane L Johnson MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diane L. Johnson, M.D., Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1013163112
  NPD tax ID

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1417191990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PINE AVE",
            "address_2": "SUITE 19",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024718",
            "telephone_number": "714-402-4685",
            "fax_number": "562-856-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PINE AVE",
            "address_2": "SUITE 19",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024718",
            "telephone_number": "714-402-4685",
            "fax_number": "562-856-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE L. JOHNSON M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-402-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G62317",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G62317",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G62317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV . NPI",
            "identifier": "1013962273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Denise Dial, NP
• Gregory Diamanti
• Diamond Senior Living
• Jeffrey Diamond, D.D.S.
• Wendy Diamond
• Edgar Diaz Avalos
• Roberto Orlando Diaz del Carpio
• Tatiana L Diaz Godinez
• Lesly Diaz-Madrid
• Laura Angelique Diaz-Winterset, PSYCHOLOGIST

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.