Organization Active NPI

Danny Johnson

  • Acupuncturist
  • Capitola, CA
National Provider Identifier
1669543914
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9587 Issued in CA
Legal business name
DANNY JOHNSON
Practice address
4140 Jade St
Suite 102
Capitola, CA 95010-3956
Phone
(831) 464-7246
Fax
(831) 464-7744
NPI assigned
Nov 10, 2006
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Daniel Steven Johnson, PA-C, L.AC.
Title
Owner
Phone
(831) 566-8236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21442 CA
Acupuncturist 171100000X 9587 CA Primary

Addresses

Primary practice location

4140 Jade St
Suite 102
Capitola, CA 95010-3956

Mailing address

PO Box 1734
Santa Cruz, CA 95061-1734
Phone (831) 566-8236

National Provider Directory

National Provider Directory

Locations

4140 Jade St
Ste 102
Capitola, CA 95010
Phone (831) 464-7246

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1669543914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1734",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950611734",
            "telephone_number": "831-566-8236",
            "fax_number": "866-614-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 JADE ST",
            "address_2": "SUITE 102",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103956",
            "telephone_number": "831-464-7246",
            "fax_number": "831-464-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-566-8236",
        "authorized_official_credential": "PA-C, L.AC."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21442",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.