R Bruce Johnson, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C28502 Issued in CA

Practice address

2929 Health Center Dr
San Diego, CA 92123-2762

Phone

(858) 939-6531

Fax

(858) 874-2351

NPI assigned

Aug 12, 2006

Last updated

Jan 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1548272446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232762",
            "telephone_number": "858-939-6531",
            "fax_number": "858-874-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232762",
            "telephone_number": "858-939-6531",
            "fax_number": "858-874-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "R",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C28502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C285020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Johnson, NP
• Patricia M Johnson, NP
• Penny Johnson, CADC II, CACCS
• Phillip Randolph Johnson
• Priya Johnson
• Ralph Sellers Johnson, M.D.
• Rashad Adrian Johnson, M.A.
• Rebecca J Johnson, LCSW 29018
• Rebecca Renee Johnson, LAC
• Rebekah Johnson, LCSW

• Gastroenterology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.