Johnson'S Orthopedic of San Diego

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO2384 Issued in CA

Legal business name

JOHNSON'S ORTHOPEDIC OF SAN DIEGO

Practice address

7898 Ostrow St
Ste F
San Diego, CA 92111

Phone

(858) 278-0518

Fax

(858) 278-0323

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Lynn Johnson

Title

Cfo

Phone

(858) 278-0518

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Wayne Johnson, C.O.

  • Specialist
  • San Diego, CA
  • NPI 1396983888
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1649204579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7898 OSTROW ST",
            "address_2": "STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-278-0518",
            "fax_number": "858-278-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7898 OSTROW ST",
            "address_2": "STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-278-0518",
            "fax_number": "858-278-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON'S ORTHOPEDIC OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-278-0518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "CO2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0028341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Regina Johnson, SUDRC
• Xavier Johnson
• Yvonne Diane Johnson, MBA, RD
• Zakiyah Johnson
• Zoe Elise Johnson
• Jennifer Anne Johnstad, PA-C
• Amanda Johnston, PTA
• Angela Johnston
• Bruce Johnston
• Candice Johnston

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.