Randal Curtis Johnson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

15965 Issued in CA

Practice address

1398 Munras Ave
Monterey, CA 93940-6139

Phone

(831) 375-2238

Fax

(831) 375-2240

NPI assigned

Mar 14, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487787891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 COUNTRY CLUB DR",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "939249552",
            "telephone_number": "831-659-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 MUNRAS AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406139",
            "telephone_number": "831-375-2238",
            "fax_number": "831-375-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RANDAL",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "15965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "770121893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Johnson, MD
• Jordan Johnson
• Kurt Phillip Johnson, LPCC
• Madeline Johnson, PA-C
• Maiya Johnson
• Sharmaine Johnson, FNP-C
• Jon P Dean DDS Inc
• Charlotte Lucy Wynne Jones, AG-ACNP
• Joy Marie Jones, PT
• Kimberly Jean Jones, PHARM. D

• Sports Physician Chiropractor in Monterey, CA
• Providers in Monterey, CA by specialty
• Sports Physician Chiropractor 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.
• 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.