NPIMap

Organization Active NPI

Rosemary Johnson and Associates Clinic Inc.

  • Specialist
  • Monrovia, CA
National Provider Identifier
1770620585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1686 Issued in CA
Legal business name
ROSEMARY JOHNSON AND ASSOCIATES CLINIC INC.
Practice address
116 E Walnut Ave
Monrovia, CA 91016-3431
Phone
(626) 357-9934
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Lorin, OTRNPI 1073877080
Title
Administrator
Phone
(626) 357-9934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1686 CA Primary

Addresses

Primary practice location

116 E Walnut Ave
Monrovia, CA 91016-3431

Mailing address

116 E Walnut Ave
Monrovia, CA 91016-3431
Phone (626) 357-9934

Other identifiers 1

IdentifierTypeStateIssuer
6395836MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Rosemary Johnson and Associates Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 E Walnut Ave
Monrovia, CA 91016
Phone (626) 354-5333

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770620585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431",
            "telephone_number": "626-357-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431",
            "telephone_number": "626-357-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY JOHNSON AND ASSOCIATES CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-357-9934",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "1686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6395836",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.