Organization Active NPI

Henry S. Johnson, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1609050228
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46419 Issued in CA
Legal business name
HENRY S. JOHNSON, M.D.
Practice address
110 W Ocean Blvd Ste 426
Long Beach, CA 90802-4678
Phone
(562) 436-9080
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Henry Stewart Johnson, M.D.
Title
Owner/M.D.
Phone
(562) 436-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G46419 CA Primary

Addresses

Primary practice location

110 W Ocean Blvd Ste 426
Long Beach, CA 90802-4678

Mailing address

110 W Ocean Blvd Ste 426
Long Beach, CA 90802-4678
Phone (562) 436-9080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1609050228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD STE 426",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024678",
            "telephone_number": "562-436-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD STE 426",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024678",
            "telephone_number": "562-436-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY S. JOHNSON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "562-436-9080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.