Individual provider Active NPI

Robert N. Johnson, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Francisco, CA
National Provider Identifier
1558339747
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G52144 Issued in CA
Practice address
1445 Bush St
San Francisco, CA 94109-5520
Phone
(415) 972-4600
Fax
(415) 975-0999
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G52144 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X G52144 CA Primary

Addresses

Primary practice location

1445 Bush St
San Francisco, CA 94109-5520

Mailing address

1445 Bush St
San Francisco, CA 94109-5520
Phone (415) 972-4600

Other practice location 1

400 30th St Ste 402
Oakland, CA 94609-3305
Phone (510) 268-8277

Other practice location 2

100 Tamal Plz Ste 120
Corte Madera, CA 94925-1176
Phone (415) 927-6600

Other practice location 3

1981 N Broadway Ste 265
Walnut Creek, CA 94596-3827
Phone (925) 295-1727

Other practice location 4

101 S San Mateo Dr Ste 306
San Mateo, CA 94401-3844
Phone (650) 342-7137

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjohnson@westcoastretina.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G52144CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Retina Medical Group, Inc. Ophthalmology CurrentSince May 7, 2008 Accepting new patients

Locations

100 Tamal Plz
Ste 120
Corte Madera, CA 94925
Phone (415) 927-6600

400 30th St
Ste 402
Oakland, CA 94609
Phone (415) 972-4600

1445 Bush St
San Francisco, CA 94109
Phone (415) 972-4600

101 S San Mateo Dr
Ste 306
San Mateo, CA 94401
Phone (415) 972-4600

1981 N Broadway
Ste 265
Walnut Creek, CA 94596
Phone (415) 972-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rjohnson@westcoastretina.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1558339747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 30th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093305",
            "country_code": "US",
            "telephone_number": "510-268-8277",
            "fax_number": "510-350-8803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Tamal Plz Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251176",
            "country_code": "US",
            "telephone_number": "415-927-6600",
            "fax_number": "415-891-3329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1981 N Broadway Ste 265",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963827",
            "country_code": "US",
            "telephone_number": "925-295-1727",
            "fax_number": "925-954-7029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S San Mateo Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944013844",
            "country_code": "US",
            "telephone_number": "650-342-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G52144",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G52144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjohnson@westcoastretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1445 Bush St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941095520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.