NPIMap

Individual provider Active NPI

Neil Grant Johnson, M.D.

  • Neurological Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1740274380
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G20232 Issued in CA
Practice address
18300 US Highway 18
St. Mary Medical Center
Apple Valley, CA 92307-2206
Phone
(909) 881-6427
Fax
(909) 880-8708
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G20232 CA Primary

Addresses

Primary practice location

18300 US Highway 18
St. Mary Medical Center
Apple Valley, CA 92307-2206

Mailing address

PO Box 9160
San Bernardino, CA 92427-0160
Phone (909) 881-6427

Other identifiers 1

IdentifierTypeStateIssuer
00G202320MedicaidCA

Other names 1

  • Neil G Johnson Professional name

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

OrganizationSpecialtyStatusNew patients
Hemet Valley Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Neil G. Johnson, M.D. Inc. Neurological Surgery PastSince Jun 27, 1980 Accepting new patients
Dignity Health Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1740274380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9160",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924270160",
            "telephone_number": "909-881-6427",
            "fax_number": "909-887-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 US HIGHWAY 18",
            "address_2": "ST. MARY MEDICAL CENTER",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072206",
            "telephone_number": "909-881-6427",
            "fax_number": "909-880-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NEIL",
        "middle_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G20232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G202320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEIL",
            "last_name": "JOHNSON",
            "middle_name": "G",
            "credential": "M.D., INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.