Individual provider Active NPI

Roy Johnson, M.D

  • Family Medicine Physician
  • Valley Center, CA
National Provider Identifier
1568487973
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34973 Issued in CA
Practice address
28743 Valley Center Rd Ste B
Valley Center, CA 92082-6530
Phone
(760) 749-0824
Fax
(760) 749-2189
NPI assigned
Jul 13, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G34973 CA Primary

Addresses

Primary practice location

28743 Valley Center Rd Ste B
Valley Center, CA 92082-6530

Mailing address

28743 Valley Center Rd Ste B
Valley Center, CA 92082-6530
Phone (760) 749-0824

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
I20050915001109 CA Practitioner - Family Practice 5799718110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

28743 Valley Ctr Rd
Suite B
Valley Center, CA 92082-6530
Phone (760) 749-0824

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34973CAMDChiropractor
G34973CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Palomar Health Past Accepting new patients

Locations

225 E 2nd Ave
Escondido, CA 92025

15611 Pomerado Rd
Fl 3
Poway, CA 92064
Phone (858) 675-3200

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

28743 Valley Center Rd
Ste B
Valley Center, CA 92082
Phone (619) 749-0824

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rjohnson81161@scrippshlth.medalliesdirect.net
  • Direct secure messaging: roy.johnsonmd.p1@direct.arch.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1568487973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28743 VALLEY CENTER RD STE B",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826530",
            "telephone_number": "760-749-0824",
            "fax_number": "760-749-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28743 VALLEY CENTER RD STE B",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826530",
            "telephone_number": "760-749-0824",
            "fax_number": "760-749-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.