Individual provider Active NPI

Natalie Anne Johnson, PA-C

  • Physician Assistant
  • Camarillo, CA
National Provider Identifier
1952792335
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52277 Issued in CA
Practice address
730 Paseo Camarillo
Camarillo, CA 93010-6064
Phone
(805) 920-7021
Fax
(805) 920-7045
NPI assigned
Feb 6, 2015
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52277 CA Primary

Addresses

Primary practice location

730 Paseo Camarillo
Camarillo, CA 93010-6064

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930

Other practice location 1

1100 W Gonzales Rd
Oxnard, CA 93036-3336
Phone (805) 988-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401001023 CA Practitioner - Physician Assistant 1254658230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians

Practice addresses (Care Compare)

2100 Statham Blvd
Oxnard, CA 93033-3901
Phone (805) 330-8680

500 E Main St
Santa Paula, CA 93060-2607
Phone (805) 933-0895

730 Paseo Camarillo
Camarillo, CA 93010-6064
Phone (805) 920-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Mar 2, 2015 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Mar 2, 2015 Accepting new patients
Clinicas del Camino Real Inc PastSince Aug 29, 2021 Accepting new patients

Locations

1040 Flynn Rd
Camarillo, CA 93012
Phone (805) 673-3930

730 Paseo Camarillo
Camarillo, CA 93010
Phone (805) 920-7021

1100 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 988-0053

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

200 S Wells Rd
Ste 200
Ventura, CA 93004
Phone (805) 647-6322

Interoperability endpoints

  • Direct secure messaging: natalie.ferris.p1@direct.clinicas.nextgenshare.com
  • Direct secure messaging: njohnson802631@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1952792335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106064",
            "telephone_number": "805-920-7021",
            "fax_number": "805-920-7045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Gonzales Rd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930363336",
            "country_code": "US",
            "telephone_number": "805-988-0053",
            "fax_number": "805-988-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATALIE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.