Active NPI
Ryan Johnson
- Audiologist
- Bonita, CA
National Provider Identifier
1912313842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2900
- Legal business name
- RYAN JOHNSON
- Doing business as
- Bonita Hearing
- Practice address
- 4190 Bonita Rd
Suite 104
Bonita, CA 91902-1329 - Phone
- (619) 961-9130
- Fax
- (619) 916-2120
- NPI assigned
- Jul 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Johnson, AU.D.
- Title
- Owner
- Phone
- (619) 961-9130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2900 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AU2900 | CA |
Addresses
Primary practice location
4190 Bonita Rd
Suite 104
Bonita, CA 91902-1329
Mailing address
4190 Bonita Rd
Suite 104
Bonita, CA 91902-1329
Phone (619) 961-9130
Other names 1
- Bonita Hearing
National Provider Directory
National Provider DirectoryLocations
4190 Bonita Rd
Ste 104
Bonita, CA 91902
Phone (619) 961-9130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Bonita, CA
- NPI 1306281027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1912313842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 BONITA RD",
"address_2": "SUITE 104",
"city": "BONITA",
"state": "CA",
"postal_code": "919021329",
"telephone_number": "619-961-9130",
"fax_number": "619-916-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 BONITA RD",
"address_2": "SUITE 104",
"city": "BONITA",
"state": "CA",
"postal_code": "919021329",
"telephone_number": "619-961-9130",
"fax_number": "619-916-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYAN JOHNSON",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-11",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-961-9130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AU2900",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU2900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bonita Hearing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.