Richard G Johnson MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G45973 Issued in CA

Legal business name

RICHARD G JOHNSON MD INC

Practice address

415 W Carroll Ave
Ste 100
Glendora, CA 91741-4208

Phone

(626) 914-5219

Fax

(626) 914-7846

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Greene Johnson, M.D.

Title

Owner

Phone

(626) 914-5219

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• richard g johnson md inc Former legal business name

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1689694523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W CARROLL AVE",
            "address_2": "STE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414208",
            "telephone_number": "626-914-5219",
            "fax_number": "626-914-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W CARROLL AVE",
            "address_2": "STE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414208",
            "telephone_number": "626-914-5219",
            "fax_number": "626-914-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G JOHNSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GREENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-914-5219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE ID",
            "identifier": "WA46488F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A616960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110086507",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G459730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE ID",
            "identifier": "WA61696A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE ID",
            "identifier": "WA46604A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE ID",
            "identifier": "WG45973E",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A464880",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A466040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "richard g johnson md inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Michael Reyes, M.D.
• Honeyleen Reyes
• Jeanette Reyes
• Stephanie Martinez Reynoso
• Kurtis Rice
• Richard L Forgey Lori L Matsuno Partnership
• Richard L. Forgey Lori L. Matsuno Partnership
• N Rowan Richards, D.C.
• Cynthia Marie Richardson, LCSW
• Jordan Grace Richmond, ATC

• Specialist in Glendora, CA
• Providers in Glendora, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.