Henry Stewart Johnson

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G46419 Issued in CA

Practice address

115 Pine Ave
Suite 615
Long Beach, CA 90802-4457

Phone

(562) 436-9080

Fax

(562) 435-8303

NPI assigned

Dec 4, 2012

Last updated

May 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 4, 2016 through May 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Henry S. Johnson, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1609050228
  Authorized official Same address or phone

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1760727614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE AVE",
            "address_2": "SUITE 615",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024457",
            "telephone_number": "562-436-9080",
            "fax_number": "562-435-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE AVE",
            "address_2": "SUITE 615",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024457",
            "telephone_number": "562-436-9080",
            "fax_number": "562-435-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HENRY",
        "middle_name": "STEWART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC NUMBER",
            "identifier": "G46419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donnice Nicole Johnson
• Eric Johnson
• Gerald L Johnson, MSD DMIN
• Geraldine Johnson, MSW
• Gina Randazzo Johnson, DDS
• Ian Johnson
• Ingrid Johnson
• Iona Johnson
• Jacarriah Johnson
• Jacqueline Johnson

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.