Connor Vanderveer Johnson, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A138799 Issued in CA

Practice address

2100 Powell St Ste 400
Emeryville, CA 94608-1872

Phone

(510) 851-7501

Fax

(510) 851-7446

NPI assigned

Sep 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity Hospitalists PCGroup PAC ID 2567714090, 78 clinicians

Wellbridge Medical IncGroup PAC ID 4284098260, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
• Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score

75.94 of 100Reported as individual

Quality

83.98

Improvement activities

0

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connor.johnson@968171447975940.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aevum Hospice LLC

  • Community Based Hospice Care Agency
  • San Luis Obispo, CA
  • NPI 1639971849

  Contracted Managing Employee

  CMS ownership

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.

• Wellbridge Medical Inc.

  • Primary Care Clinic/Center
  • Los Osos, CA
  • NPI 1912681354
  Medicare reassignment Care Compare group NPD Authorized official
• Vituity Hospitalists PC

  • Hospitalist Physician
  • Redding, CA
  • NPI 1730666108

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Slo Medicine Inc

  • Internal Medicine Physician
  • Los Osos, CA
  • NPI 1326699273
  NPD Authorized official
• Central Coast in-Patient Consultants, Inc.

  • Internal Medicine Physician
  • Santa Maria, CA
  • NPI 1609096882
  Medicare reassignment
• Vituity Hospitalists PC

  • Hospitalist Physician
  • San Luis Obispo, CA
  • NPI 1104551639

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Coast Home Health Inc

  • Home Health Agency
  • San Luis Obispo, CA
  • NPI 1609044924
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • Home Health Agency
  • Santa Maria, CA
  • NPI 1225184963
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1780010603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-851-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-851-7501",
            "fax_number": "510-851-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONNOR",
        "middle_name": "VANDERVEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A138799",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A138799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A138799",
            "identifier": "LICENSE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babak Jahromi Jamasbi, M.D.
• Liza Marie Jastrow, L.AC.
• Antonette Andres Jeske, P.A.
• Jessica Engle
• Chloe Jhangiani
• Curtis I Johnson, M.D.
• Isabella Johnson
• Nayo K Johnson
• Patrice Johnson, LMT
• Shelby Keilani Johnson

• Hospitalist Physician in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.