Carl E Johnson, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

A33572 Issued in CA

Practice address

24 Las Praderas Dr
San Luis Obispo, CA 93401-7410

Phone

(805) 544-7832

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14970/brand/1/csg/1/fhir/r4

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.

• Dermatologic Plastic Surgery Clinics of Ca

  • Specialist
  • San Luis Obispo, CA
  • NPI 1306960240
  NPD (past)
• Lags Spine and Sportscare Medical Centers Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Maria, CA
  • NPI 1447244256
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Maria, CA
  • NPI 1689157059
  NPD (past)
• Primary Care Partners - Slo, P.C.

  • Primary Care Clinic/Center
  • San Luis Obispo, CA
  • NPI 1831631001
  NPD (past)
• Regenerative Spine, Pain, and Neuropathy Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1497323570
  NPD (past)
• Shaun Lea Certified Registered Nursing Anesthetist, Inc.

  • Certified Registered Nurse Anesthetist
  • Atascadero, CA
  • NPI 1235590977
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487679684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934650959",
            "telephone_number": "805-434-1375",
            "fax_number": "805-434-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LAS PRADERAS DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017410",
            "telephone_number": "805-544-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A33572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A335721",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A335720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven B Jobst, M.D.
• Joel Lardizabal, MD Inc
• John Oak Care Corp.
• Barry Dean Johnson
• Camille Johnson, LMFT
• Christopher Johnson
• Christopher Warren Johnson, MD
• Dean Johnson
• Douglas Brent Johnson, R.P.T.
• Hailey Johnson

• Anatomic Pathology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Anatomic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.