Individual provider Active NPI

Ann H Johnson, DO

  • General Practice Physician
  • Visalia, CA
National Provider Identifier
1871175992
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2OA7713 Issued in CA
Practice address
2431 W Caldwell Ave
Visalia, CA 93277-8084
Phone
(559) 627-5555
Fax
(559) 741-3515
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2OA7713 CA Primary

Addresses

Primary practice location

2431 W Caldwell Ave
Visalia, CA 93277-8084

Mailing address

2431 W Caldwell Ave
Visalia, CA 93277-8084
Phone (559) 627-5555

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FAX

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
I20231229002039 CA Practitioner - General Practice 1951373950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
William Carey University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visalia Walk in Medical Clinic IncGroup PAC ID 7810936705, 2 clinicians

Practice addresses (Care Compare)

2431 W Caldwell Ave
Visalia, CA 93277-8084
Phone (559) 627-5555

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2OA7713CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd a. Johnson DO Inc. CurrentSince Dec 11, 2003 Accepting new patients
Visalia Walk in Medical Clinic Inc CurrentSince Dec 14, 2023 Accepting new patients

Locations

2431 W Caldwell Ave
Visalia, CA 93277
Phone (559) 327-5555

Organizations & group practices 2

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1871175992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778084",
            "telephone_number": "559-627-5555",
            "fax_number": "559-734-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778084",
            "telephone_number": "559-627-5555",
            "fax_number": "559-741-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANN",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "2OA7713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FAX",
            "affiliation": "N",
            "address_1": "2431 W Caldwell Ave",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932778084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.