Individual provider Active NPI

John Olaf Johansson, MD PHD

  • Ophthalmology Physician
  • Oroville, CA
National Provider Identifier
1447284344
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A46646 Issued in CA
Practice address
2809 Olive Hwy
Suite 140
Oroville, CA 95966
Phone
(530) 534-1400
Fax
(530) 534-6380
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A46646 CA Primary

Addresses

Primary practice location

2809 Olive Hwy
Suite 140
Oroville, CA 95966

Mailing address

2981 Olive Hwy
Oroville, CA 95966-6109
Phone (530) 533-4500

Other identifiers 3

IdentifierTypeStateIssuer
00A466460OtherCABLUE SHIELD
00A466460OtherCABLUE CROSS
00A466460MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000782 CA Practitioner - Ophthalmology 6103936547 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6247CAMDOptician
A46646CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oroville Hospital CurrentSince Sep 1, 2015 Accepting new patients
Oroville Hospital CurrentSince Sep 1, 2015 Accepting new patients
Oroville Hospital Current Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Jan 5, 2019 Accepting new patients

Locations

2981 Olive Hwy
Oroville, CA 95966
Phone (530) 533-4500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Ste 12
Oroville, CA 95966
Phone (530) 532-8260

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2809 Olive Hwy
#104
Oroville, CA 95966

2809 Olive Hwy
Ste 140
Oroville, CA 95966
Phone (530) 534-1400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1447284344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666109",
            "telephone_number": "530-533-4500",
            "fax_number": "530-533-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY",
            "address_2": "SUITE 140",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-534-1400",
            "fax_number": "530-534-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSSON",
        "first_name": "JOHN",
        "middle_name": "OLAF",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A46646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A466460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00A466460",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A466460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.