Johnson Surgical Assist Associates

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JOHNSON SURGICAL ASSIST ASSOCIATES

Practice address

1075 Tully Rd Ste A2
San Jose, CA 95122-4237

Phone

(408) 440-2359

Fax

(408) 677-4941

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Donnelle J Dubois

Title

Director

Phone

(408) 440-2359

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1447520572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 TULLY RD STE A2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224237",
            "telephone_number": "408-440-2359",
            "fax_number": "408-677-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 TULLY RD STE A2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224237",
            "telephone_number": "408-440-2359",
            "fax_number": "408-677-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON SURGICAL ASSIST ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "DONNELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-440-2359"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Mercedes John-Riggins
• Jismol Shiby John
• Elizabeth Cross Johns
• Eric Curtis Johns
• Melinda Sue Johnson Carcich, MA LMFT44024
• Amanda Johnson
• Ashlen Johnson
• Ashley Johnson, THERAPIST
• Audra Ann Johnson
• Carol M Johnson, NP

• Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.