Individual provider Active NPI

Rachean Lynnette Johnson

  • Specialist
  • San Francisco, CA
National Provider Identifier
1811328354
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
972 Mission St FL 3
San Francisco, CA 94103-2992
Phone
(415) 487-3300
Fax
(844) 364-0133
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

972 Mission St FL 3
San Francisco, CA 94103-2992

Mailing address

972 Mission St FL 3
San Francisco, CA 94103-2992
Phone (415) 487-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Episcopal Community Services of San Francisco CurrentSince Oct 15, 2023 Accepting new patients
Episcopal Community Services of San Francisco CurrentSince Jan 8, 2023 Accepting new patients
Bayview Hunters Point Foundation for Community Improvement Inc Past Accepting new patients
Bayview Hunters Point Foundation for Community Improvement Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1811328354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MISSION ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032992",
            "telephone_number": "415-487-3300",
            "fax_number": "844-364-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MISSION ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032992",
            "telephone_number": "415-487-3300",
            "fax_number": "844-364-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEAN",
        "middle_name": "LYNNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.