Active NPI
Bethel Alvaro Johnson, FNP-C
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95006989
- Practice address
- 1445 N la Brea Ave
Los Angeles, CA 90028-7505 - Phone
- (323) 798-5158
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95006989 | CA | Primary |
Addresses
Primary practice location
1445 N la Brea Ave
Los Angeles, CA 90028-7505
Mailing address
PO Box 931629
Loa Angeles, CA 90093
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12021 S Wilmington Ave
Room 1059
Los Angeles, CA 90059-3019
14445 Olive View Dr
Sylmar, CA 91342-1437
Phone (818) 364-3001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Glendale Adventist Emergency Physicians Incorporated | Current | Accepting new patients |
Locations
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1679907869
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1477065183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931629",
"city": "LOA ANGELES",
"state": "CA",
"postal_code": "90093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 N LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287505",
"telephone_number": "323-798-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BETHEL",
"middle_name": "ALVARO",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95006989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.