Johnson Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHNSON MEDICAL CLINIC, INC.

Doing business as

JOHNSON MEDICAL CLINIC INC

Practice address

2090 S Euclid St Ste 104
Anaheim, CA 92802-3141

Phone

(714) 539-2200

Fax

(714) 539-2277

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Dosumu-Johnson, MD

Title

Medical Doctor

Phone

(562) 733-9789

Specialties & licenses 5

Addresses

Other names 1

• JOHNSON MEDICAL CLINIC INC Doing business as

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1649885765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S EUCLID ST STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023141",
            "telephone_number": "714-539-2200",
            "fax_number": "714-539-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 S EUCLID ST STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023141",
            "telephone_number": "714-539-2200",
            "fax_number": "714-539-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "DOSUMU-JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "562-733-9789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSON MEDICAL CLINIC INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JOHNSON MEDICAL CLINIC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexis M Johnson
• Andrea Johnson
• Anelynn Torres Johnson, OTR/L
• Anette M Johnson, M.D.
• Brittany Marie Johnson

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

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