Individual provider Active NPI

Vance Zachary Johnson, M.D.

  • Interventional Pain Medicine Physician
  • Murrieta, CA
National Provider Identifier
1518988005
Registry record updated Aug 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A61529 Issued in CA
Practice address
28078 Baxter Road
Suite 128
Murrieta, CA 92563-1402
Phone
(951) 894-5000
Fax
(951) 296-1098
NPI assigned
Jul 21, 2006
Last updated
Aug 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A61529 CA Primary

Addresses

Primary practice location

28078 Baxter Road
Suite 128
Murrieta, CA 92563-1402

Mailing address

27475 Ynez Rd # 295
Temecula, CA 92591-4612
Phone (951) 894-5000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000950 CA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0042201048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61529CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Jan 27, 2024 Accepting new patients
University Surgery Center Current Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Oct 1, 2020 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Oct 1, 2020 Accepting new patients
United Medical Doctors CurrentSince Jan 27, 2024 Accepting new patients
Global Anesthesia Services Inc a Professional Nursing Corporation Past Accepting new patients
Universal Health Services of Rancho Springs Inc Interventional Pain Medicine Past Accepting new patients
Uhs Corona Inc Interventional Pain Medicine Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Temecula Valley Hospital Inc Interventional Pain Medicine Past Accepting new patients
Dignity Health Interventional Pain Medicine Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

25405 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 677-2333

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8805 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 912-1750

8805 Haven Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 912-1725

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vance.johnson.1@9170.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377907200000",
    "number": "1518988005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD # 295",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-894-5000",
            "fax_number": "951-296-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER ROAD",
            "address_2": "SUITE 128",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-894-5000",
            "fax_number": "951-296-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VANCE",
        "middle_name": "ZACHARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A61529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.