Active NPI
Henry S. Johnson, M.D.
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1609050228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G46419
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.