Organization Active NPI

Ryan Johnson

  • Audiologist
  • Bonita, CA
National Provider Identifier
1912313842
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2900 Issued in CA
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

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Ryan Johnson, AU.D.NPI 1306281027
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)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AU2900 CA Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.