Individual provider Active NPI

Warren Marion Johnson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fremont, CA
National Provider Identifier
1457423469
Registry record updated Jan 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1285 Issued in CA
Practice address
3775 Beacon Ave
Ste 120
Fremont, CA 94538-1466
Phone
(510) 794-6633
Fax
(510) 794-6637
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E1285 CA Primary

Addresses

Primary practice location

3775 Beacon Ave
Ste 120
Fremont, CA 94538-1466

Mailing address

3775 Beacon Ave
Ste 120
Fremont, CA 94538-1466
Phone (510) 794-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1285CAMDFoot & Ankle Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: wjohnson13579@direct.whhs.com

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516406400000",
    "number": "1457423469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "STE 120",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-794-6633",
            "fax_number": "510-794-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "STE 120",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-794-6633",
            "fax_number": "510-794-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WARREN",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2018; 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.