Active NPI
Alan Mark Johnson, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Oakland, CA
National Provider Identifier
1679685440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- G87257
- Practice address
- 747 52ND Street
Emergency Medicine
Oakland, CA 94609-1809 - Phone
- (510) 428-3259
- Fax
- (510) 450-5836
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | G87257 | CA | Primary |
Addresses
Primary practice location
747 52ND Street
Emergency Medicine
Oakland, CA 94609-1809
Mailing address
747 52ND Street
Oakland, CA 94609-1809
Phone (510) 428-3259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Faculty Foundation, Inc | Past | Accepting new patients | |
| UCSF Health Medical Foundation | Past | Accepting new patients | |
| San Francisco Emergency Medical Associates | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Interoperability endpoints
- ajohnson116266@direct-ucsfmedicalcenter.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Chicago, IL
- NPI 1124123146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679685440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3259",
"fax_number": "510-450-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND STREET",
"address_2": "EMERGENCY MEDICINE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3259",
"fax_number": "510-450-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALAN",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "CA",
"license": "G87257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.