Active NPI
Stephane E. Johnson, MD, P.C.
- Psychiatry Physician
- Murrieta, CA
National Provider Identifier
1912364175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A100636
- Legal business name
- STEPHANE E. JOHNSON, MD, P.C.
- Practice address
- 28078 Baxter Rd
Suite 228
Murrieta, CA 92563-1402 - Phone
- (951) 387-2676
- Fax
- (888) 882-0485
- NPI assigned
- Jan 19, 2016
- 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
- Stephane E. Johnson, M.D.
- Title
- Psychiatrist
- Phone
- (951) 387-2676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A100636 | CA | Primary |
Addresses
Primary practice location
28078 Baxter Rd
Suite 228
Murrieta, CA 92563-1402
Mailing address
41593 Winchester Rd
Suite 200
Temecula, CA 92590-4860
Phone (951) 387-2676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A100636 | Other | CA | STATE MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
28078 Baxter Rd
Ste 228
Murrieta, CA 92563
Phone (909) 521-8698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1912364175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41593 WINCHESTER RD",
"address_2": "SUITE 200",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904860",
"telephone_number": "951-387-2676",
"fax_number": "888-882-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28078 BAXTER RD",
"address_2": "SUITE 228",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925631402",
"telephone_number": "951-387-2676",
"fax_number": "888-882-0485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANE E. JOHNSON, MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "STEPHANE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "951-387-2676",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A100636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A100636",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.