Individual provider Active NPI

Timothy Scott Johnston, M.D.

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1528097847
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G58698 Issued in CA
Practice address
3349 G St Ste F
Merced, CA 95340-0978
Phone
(209) 349-8459
Fax
(209) 580-4138
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X G58698 CA
Family Medicine Physician 207Q00000X G58698 CA Primary

Addresses

Primary practice location

3349 G St Ste F
Merced, CA 95340-0978

Mailing address

PO Box 2526
Merced, CA 95344-0526
Phone (209) 349-8459

Other practice location 1

3170 Collins Dr Ste B
Merced, CA 95348-3164
Phone (209) 233-3840

Other identifiers 1

IdentifierTypeStateIssuer
00G586980MedicaidCA

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
I20040913000562 CA Practitioner - Family PracticePractitioner - PsychiatryPractitioner - Obstetrics/Gynecology 6800863846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Geisel School of Medicine at Dartmouth, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Timothy S Johnston MD PCGroup PAC ID 1456638238, 9 clinicians

Practice addresses (Care Compare)

3349 G St
Suite F
Merced, CA 95340-0978
Phone 20934984592245

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions28
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58698CAMDDentist
G58698CAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy S. Johnston, M.D. PC CurrentSince Apr 1, 2017 Accepting new patients
Dignity Health Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

1685 Shaffer Rd
Atwater, CA 95301
Phone (209) 357-3420

3349 G St
Ste F
Merced, CA 95340
Phone (209) 349-8459

3170 Collins Dr
Ste B
Merced, CA 95348
Phone (209) 233-3840

3180 Collins Dr
Ste A
Merced, CA 95348
Phone (209) 259-4301

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

3329 G St
Ste B
Merced, CA 95340
Phone (209) 349-8459

3349 G St
Ste B
Merced, CA 95340
Phone (209) 385-2240

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tjohnston17667@valleychildrens-prd.direct-ci.com
  • Direct secure messaging: timothy.johnston.p1@direct.castle.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1528097847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440526",
            "telephone_number": "209-349-8459",
            "fax_number": "209-580-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 G ST STE F",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-349-8459",
            "fax_number": "209-580-4138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Collins Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953483164",
            "country_code": "US",
            "telephone_number": "209-233-3840",
            "fax_number": "209-354-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "G58698",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G58698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G586980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.