David Alan Johnson, MD
Individual provider Active NPI Diagnostic Radiology Physician · Vancouver, WA
NPI 1770901696 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1770901696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD61068226 (WA)
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Phone
- (360) 514-2000
- Fax
- (360) 514-6219
- NPI assigned
- Mar 29, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 75
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radia Inc P S
Evergreen Radia LLC
Swedish Health Services
Central Washington Health Services Association
Radia Imaging Center Holdings LLC
Swedish Health Services
Swedish Radia Imaging Center at Edmonds LLC
Medford Radiological Group PC
Tower Imaging Medical Associates Inc
Radia Oregon Radiology Medical Group LLC
Radia California Radiology Medical Group Inc
Yakima Valley Memorial Physicians
South Sound Radiologists Inc P S
Optum Care Washington PLLC
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000
11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100
1200 112TH Ave NE
Suite B250
Bellevue, WA 98004-3749
Phone 4253941650425394
1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208
1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233
1600 E Jefferson St
Suite 300
Seattle, WA 98122-5645
Phone (206) 386-2677
18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030
21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200
2220 SE 192ND Ave
Apt B109
Vancouver, WA 98683-1405
Phone (541) 618-5800
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
- Northwest Specialty Hospital
- Swedish Medical Center
- Swedish Medical Center / Cherry Hill
- Swedish Issaquah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190511000129 | MO | Practitioner - Diagnostic Radiology | 5597087452 | Reassigns benefits to 2 organizations |
| I20200806000979 | WA | Practitioner - Diagnostic Radiology | 5597087452 | Reassigns benefits to 18 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019014131 | MO | MD | Diagnostic Radiology Physician |
| MD61068226 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Current |
Accepting new patients | |
| Optum Care Washington PLLC | Current |
Accepting new patients | |
| Optum Care Washington PLLC | Current |
Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Central Washington Health Services Association | Current |
Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Wenatchee Valley Hospital | Current |
Accepting new patients | |
| Radia California Radiology Medical Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Swedish Health Services | Current |
Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Current |
Accepting new patients |
| Yakima Valley Memorial Physicians | Current |
Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Evergreen Radia LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Miracl, LLC | Current |
Accepting new patients | |
| Advanced Imaging of South Bay, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current |
Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current |
Accepting new patients |
| Tower Imaging Medical Associates, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Medford Radiological Group, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Washington University | Diagnostic Radiology | Current |
Accepting new patients |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Swedish Health Services | Current |
Accepting new patients | |
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Swedish Health Services | Current |
Accepting new patients | |
| Yakima Valley Memorial Physicians | Current |
Accepting new patients | |
| Proliance Surgeons Inc P S | Current |
Accepting new patients |
Locations (25 of 38)
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2900
660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2019014131 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD61068226 | WA | Yes |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428384 | Other | WA | L&I-RADIA KING CTY |
| 200068612 | Medicaid | MO | |
| 0428386 | Other | WA | L&I-EVERGREEN RADIA |
| 0428389 | Other | WA | L&I-VANCOUVER RADIOLOGY |
| 0428388 | Other | WA | L&I-SEATTLE RADIOLOGY |
| 0428385 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
| 0428383 | Other | WA | L&I-RADIA REST OF WA |
| 2163131 | Medicaid | WA | |
| 0428387 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
Other providers in Vancouver, WA
- Clara Marie Johnson
- Dalonia Darneace Johnson
- Danna Lori Johnson
- David Johnson
- David Johnson
- David Isaac Johnson
- Deanna Victoria Johnson
- Debra Faith Johnson
- Dexter E Johnson
- Douglas R Johnson
All providers in Vancouver, WA · Diagnostic Radiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.