Edward Johnson, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

G67344 Issued in CA

Practice address

473 Cabrillo St BLDG 422
Monterey, CA 93944-3201

Phone

(831) 242-7990

Fax

(831) 242-2822

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1649244385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST BLDG 422",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "831-242-7990",
            "fax_number": "831-242-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST BLDG 422",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "831-242-7990",
            "fax_number": "831-242-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67344",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "G67344",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "G67344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G67344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheela Giselle Jimenez
• John F Bennetts MD Inc
• John M Fejes MD Inc
• Armida E Johnson
• Cedric Arthur Johnson, CMP
• Jordan Johnson
• Kurt Phillip Johnson, LPCC
• Madeline Johnson, PA-C
• Maiya Johnson
• Randal Curtis Johnson, D.C.

• Aerospace Medicine Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Aerospace Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.