Johnny Doan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2230 Longport CT Ste 130
Elk Grove, CA 95758-7182

Phone

(866) 523-4268

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1588234918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 CARLISLE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291438",
            "telephone_number": "916-710-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LONGPORT CT STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587182",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "JOHNNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David DO
• Kevin DO
• Lotus DO, LCSW
• Ngan DO
• Hoa Nguyen Dieu Doan, RPH
• Thao X. Doan, MD
• Tram Doan
• Doctors' Comprehensive Medical Group
• Gregory Brian Doe, PHARM.D.
• Domingo Therapy a Marriage and Family Therapy Professional Corporation (The KEY Wellness)

• Behavior Technician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.