Thomas Robert Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11277 Issued in CA

Practice address

1 Daniel Burnham CT
#365C
San Francisco, CA 94109-5455

Phone

(415) 409-7364

Fax

(415) 409-0741

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912017146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "#365C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-409-7364",
            "fax_number": "415-409-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "#365C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-409-7364",
            "fax_number": "415-409-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shomonique Johnson
• Stephen Johnson, FNP-BC
• Taneshia Micheke Johnson
• Theresa Johnson
• Thomas Johnson
• Todd D Johnson
• Tori Renee Johnson
• Tyrone Anthony Johnson, MD
• Yeva M. Johnson, MD, MPH
• Yolanda Christine Johnson

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.