Active NPI
John Patrick Johnson, M.D.
- Neurological Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G61860D
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| G61860D | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Reconstruction Partners | Current | Accepting new patients | |
| Spine Center of Los Angeles Inc. | Neurological Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery of the Spine Physician
- Los Angeles, CA
- NPI 1861411902
-
- Neurological Surgery Physician
- El Segundo, CA
- NPI 1952320095
-
- Neurological Surgery Physician
- Los Angeles, CA
- NPI 1578692653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.