Active NPI
Daniel Steven Johnson, PA-C, L.AC.
- Medical Physician Assistant
- Watsonville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA21442
- Practice address
- 1505 Main St
Watsonville, CA 95076-3761 - Phone
- (831) 722-1444
- Fax
- (831) 722-4414
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 9587 | CA | |
| Medical Physician Assistant | 363AM0700X | PA21442 | CA | Primary |
Addresses
Primary practice location
1505 Main St
Watsonville, CA 95076-3761
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000
Other practice location 1
4140 Jade St Ste 102
Capitola, CA 95010-3940
Phone (831) 464-7246
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
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Main St
Watsonville, CA 95076-3761
Phone (831) 722-1444
3130 Del Monte Blvd
Marina, CA 93933-3047
Phone (831) 883-3330
615 Ocean St
Santa Cruz, CA 95060-4005
Phone (831) 425-7991
6800 Soquel Dr
Aptos, CA 95003-3225
Phone (831) 662-3611
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.47 of 100
- Quality
- 67.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 9587 | CA | MD | Acupuncturist |
| PA21442 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- djohnson15191@direct.svmh.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Addiction Medicine (Anesthesiology) Physician
- Capitola, CA
- NPI 1538227897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1508151572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON RD STE 100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407885",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 MAIN ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763761",
"telephone_number": "831-722-1444",
"fax_number": "831-722-4414"
}
],
"practiceLocations": [
{
"address_1": "4140 Jade St Ste 102",
"address_purpose": "LOCATION",
"city": "Capitola",
"state": "CA",
"postal_code": "950103940",
"country_code": "US",
"telephone_number": "831-464-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANIEL",
"middle_name": "STEVEN",
"credential": "PA-C, L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 9587",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.