Active NPI
N. Ragner Johnson, M.D.
- Specialist
- Glendale, CA
National Provider Identifier
1528041076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G8952
- Practice address
- 1510 S Central Ave
Suite 325
Glendale, CA 91204-2500 - Phone
- (818) 244-0112
- Fax
- (818) 244-8544
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G8952 | CA | Primary |
Addresses
Primary practice location
1510 S Central Ave
Suite 325
Glendale, CA 91204-2500
Mailing address
1510 S Central Ave
Suite 325
Glendale, CA 91204-2500
Phone (818) 244-0112
Other names 1
- Dr. Nils Ragner Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8952 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1528041076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 325",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-244-0112",
"fax_number": "818-244-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 325",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-244-0112",
"fax_number": "818-244-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "N.",
"middle_name": "RAGNER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G8952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NILS",
"last_name": "JOHNSON",
"middle_name": "RAGNER",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.