NPIMap

Organization Active NPI

Timothy S. Johnston, M.D. PC

Doing business as Sunshine Pediatrics

  • Primary Care Clinic/Center
  • Merced, CA
National Provider Identifier
1427793371
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TIMOTHY S. JOHNSTON, M.D. PC
Doing business as
Sunshine Pediatrics
Practice address
3180 Collins Dr Ste a
Merced, CA 95348-3156
Phone
(209) 259-4301
Fax
(209) 354-4932
NPI assigned
May 4, 2022
Last updated
May 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TIMOTHY S. JOHNSTON MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Janette Purslow
Title
Credentialing Coordinator
Phone
(209) 349-8459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3180 Collins Dr Ste a
Merced, CA 95348-3156

Mailing address

3349 G St Ste F
Merced, CA 95340-0978
Phone (209) 349-8459

Other practice location 1

3170 Collins Dr Ste B
Merced, CA 95348-3164
Phone (209) 233-3840

Other identifiers 1

IdentifierTypeStateIssuer
1528097847MedicaidCA

Other names 1

  • Sunshine Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170503002455 CA Part B Supplier - Clinic/Group Practice 1456638238 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Merced, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Timothy S Johnston MD PC3 organizations share this tax ID, including this one
Part of
Timothy S Johnston MD PC

Other organizations with this tax ID 2

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

Locations

3170 Collins Dr
Ste B
Merced, CA 95348
Phone (209) 233-3840

410 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 722-9272

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1427793371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 G ST STE F",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-349-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLLINS DR STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483156",
            "telephone_number": "209-259-4301",
            "fax_number": "209-354-4932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Collins Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953483164",
            "country_code": "US",
            "telephone_number": "209-233-3840",
            "fax_number": "209-354-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIMOTHY S. JOHNSTON, M.D. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIMOTHY S. JOHNSTON MD, PC",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "PURSLOW",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "209-349-8459"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528097847",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.