Individual provider Active NPI

John Patrick Johnson, M.D.

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1881628352
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G61860D Issued in CA
Practice address
444 S San Vicente Blvd
Suite 800
Los Angeles, CA 90048-4165
Phone
(310) 423-9792
Fax
(310) 423-9767
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G61860D CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd
Suite 800
Los Angeles, CA 90048-4165

Mailing address

444 S San Vicente Blvd
Suite 800
Los Angeles, CA 90048-4165
Phone (310) 423-9792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 20, 2016 through Jan 20, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G61860DCAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Reconstruction Partners CurrentSince Jul 1, 2005 Accepting new patients
Spine Center of Los Angeles Inc. Neurological Surgery CurrentSince Apr 5, 2005 Accepting new patients
Perri and Siddique Spine Surgery, Inc. Neurological Surgery Past Accepting new patients

Locations

125 Eucalyptus Dr
El Segundo, CA 90245
Phone (310) 322-4278

122 Sheldon St
El Segundo, CA 90245
Phone (310) 322-4278

444 S San Vicente Blvd
Ste 8
Los Angeles, CA 90048

444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048
Phone (310) 423-9769

444 S San Vicente Blvd
Los Angeles, CA 90048
Phone (213) 637-3700

Interoperability endpoints

  • Direct secure messaging: jjohnson102988@direct.cshs.org

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1881628352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9792",
            "fax_number": "310-423-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9792",
            "fax_number": "310-423-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G61860D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.