Noah Johnson MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A79548 Issued in CA

Legal business name

NOAH JOHNSON MD PC

Practice address

10158 Buena Vista Ave
Santee, CA 92071-4435

Phone

(619) 562-1140

Fax

(619) 562-5362

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri Woolley

Title

Office Manager

Phone

(619) 562-1140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noah Compton Johnson, MD

  • Family Medicine Physician
  • Santee, CA
  • NPI 1932215092
  Medicare reassignment NPD

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1811168388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 BUENA VISTA AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714435",
            "telephone_number": "619-562-1140",
            "fax_number": "619-562-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 BUENA VISTA AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714435",
            "telephone_number": "619-562-1140",
            "fax_number": "619-562-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "WOOLLEY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-562-1140"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Nguyen
• Matthew D Nguyen, PHARMD
• Tammy Hoanmy Nguyen, RN
• Thao Thanh Nguyen, C.N.A
• Nicholas Thacker DDS Inc
• Noel E. Sobing
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• Nicole L Norenberg, MPT
• Northland Hearing Centers, Inc (NuEar Hearing Center)
• Michael A Nyberg, M.D.

• Family Medicine Physician in Santee, CA
• Providers in Santee, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.