Christopher L Johnson, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

006170 Issued in AZ

Practice address

2302 N Stockton Hill Rd
Kingman, AZ 86401-4100

Phone

(928) 352-2560

Fax

(928) 352-2824

NPI assigned

Jan 4, 2008

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1104228337
  Medicare reassignment Care Compare group NPD
• San Luis Walk-in Clinic, Inc.

  dba Children Integrated Care Services

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1063274868
  NPD
• San Luis Walk-in Clinic, Inc.

  • Infusion Therapy Clinic/Center
  • San Luis, AZ
  • NPI 1144916552
  NPD
• San Luis Walk-in Clinic, Inc.

  dba Lake Havasu Pediatric Family Clinic

  • Rural Health Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1154051753
  NPD
• San Luis Walk-in Clinic, Inc.

  dba San Luis Urgent Care

  • Urgent Care Clinic/Center
  • San Luis, AZ
  • NPI 1144680455
  NPD (past)
• San Luis Walk-in Clinic, Inc.

  dba Kingman Family Walk In Clinic

  • Multi-Specialty Clinic/Center
  • Kingman, AZ
  • NPI 1609561828
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1467637744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-662-0406",
            "fax_number": "928-662-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014100",
            "telephone_number": "928-352-2560",
            "fax_number": "928-352-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Mesquite Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864036123",
            "country_code": "US",
            "telephone_number": "928-459-3512",
            "fax_number": "928-459-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OT 011135",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "006170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason W Lowry DDS PLLC
• Marilyn Joyce Jenkins
• Jennifer Ann Kern PLLC
• Jeremiah E. Jensen, LCSW
• Sungnam Joe, M.D.
• Alyssa Johnston
• Jon C Schwartz MD PC
• Jose Gochoco DO PLLC (Express Medical Care)
• Alie Riad Jreisat, MD
• Just for Kids Dental Group Kingman, PLLC (Just For Kid Dentistry)

• General Practice Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.