NPIMap

Individual provider Active NPI

Paul Bennett Johnson, M.D.

  • Interventional Pain Medicine Physician
  • West Hills, CA
National Provider Identifier
1750449229
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A93613 Issued in CA
Practice address
7230 Medical Center Dr
Suite #500
West Hills, CA 91307-1907
Phone
(818) 348-7246
Fax
(818) 348-7248
NPI assigned
Dec 5, 2006
Last updated
May 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A93613 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A93613 CA
Interventional Pain Medicine Physician 208VP0014X A93613 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr
Suite #500
West Hills, CA 91307-1907

Mailing address

7230 Medical Center Dr
Suite #500
West Hills, CA 91307-1907
Phone (818) 348-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000485 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8628178662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Nevada School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7230 Medical Ctr Dr
Suite 500
West Hills, CA 91307-4024
Phone 8183487246104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jan 6, 2010 Accepting new patients
Advanced Pain Medical Group, Inc Anesthesiology CurrentSince Jun 1, 2007 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Aug 4, 2010 Accepting new patients
Advanced Pain Medical Group, Inc. Anesthesiology CurrentSince Jun 1, 2007 Accepting new patients
Oaks Surgical Center,LLC PastSince Jul 14, 2020 Accepting new patients
Beverly Hills Multispecialty Surgical Center, LLC PastSince Jul 31, 2017 Accepting new patients
New Horizon Surgical Center, LLC PastSince Jul 14, 2020 Accepting new patients
Antelope Valley Specialty Surgical Center, LLC PastSince Jul 13, 2020 Accepting new patients
Synergy Surgical Center, LLC PastSince Aug 15, 2019 Accepting new patients

Locations

4500 Trade Center Dr
#A
Bakersfield, CA 93311
Phone (661) 381-7222

25078 Peachland Ave
Ste E
Santa Clarita, CA 91321
Phone (661) 259-0202

7230 Medical Center Dr
Ste 500A
West Hills, CA 91307

7230 Medical Center Dr
Ste 500B
West Hills, CA 91307

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

311 Arsenal St
Watertown, MA 02472
Phone (617) 924-5100

Interoperability endpoints

  • Direct secure messaging: paul.johnson.1@32757.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1750449229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE #500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE #500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A93613",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A93613",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A93613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.