Individual provider Active NPI

Leif A Johnson, M.D.

  • Emergency Medicine Physician
  • Alameda, CA
National Provider Identifier
1851314611
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G78115 Issued in CA
Practice address
2070 Clinton Ave
Alameda, CA 94501-4320
Phone
(510) 523-4357
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G78115 CA Primary

Addresses

Primary practice location

2070 Clinton Ave
Alameda, CA 94501-4320

Mailing address

2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2600

Other practice location 1

20103 Lake Chabot Rd Fl 1
Castro Valley, CA 94546-5305
Phone (510) 247-6300

Other practice location 2

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-3522

Other practice location 3

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8180

Other practice location 4

2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5600

Other practice location 5

4053 Lone Tree Way Ste 200
Antioch, CA 94531-6210
Phone (925) 756-3499

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080516000594 CA Practitioner - Emergency Medicine 3678642600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (650) 845-7649

Hospital & facility affiliations

  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G78115CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine CurrentSince Jul 14, 1998 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 14, 1998 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Alameda Health System Past Accepting new patients

Locations (25 of 30)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

4053 Lone Tree Way
Ste 101
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 200
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Antioch, CA 94531
Phone (925) 756-3400

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

20101 Lake Chabot Rd
Fl 1
Castro Valley, CA 94546
Phone (510) 247-6300

20101 Lake Chabot Rd
#1
Castro Valley, CA 94546
Phone (510) 886-3400

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

Interoperability endpoints

  • Direct secure messaging: ljohnson14263@alamedahs.direct-ci.com
  • Direct secure messaging: ljohnson212690@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1851314611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "SUITE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014320",
            "telephone_number": "510-523-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20103 Lake Chabot Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465305",
            "country_code": "US",
            "telephone_number": "510-247-6300",
            "fax_number": "510-247-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096200",
            "country_code": "US",
            "telephone_number": "925-779-3522",
            "fax_number": "925-779-7281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Camino Encinas",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945633304",
            "country_code": "US",
            "telephone_number": "510-204-8180",
            "fax_number": "925-254-0687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Milvia St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947042636",
            "country_code": "US",
            "telephone_number": "510-204-5600",
            "fax_number": "510-204-5462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4053 Lone Tree Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945316210",
            "country_code": "US",
            "telephone_number": "925-756-3499",
            "fax_number": "925-757-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEIF",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G78115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.