Noel E Johanson MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G17121 Issued in CA

Legal business name

NOEL E JOHANSON MD INC

Practice address

720 N Tustin Ave
Ste 201
Santa Ana, CA 92705-3606

Phone

(714) 541-3570

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Noel Evans Johanson, MD

Title

Owner/President

Phone

(714) 541-3570

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1508019134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE",
            "address_2": "STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "714-541-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE",
            "address_2": "STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "714-541-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL E JOHANSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHANSON",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-541-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G17121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G171210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.