Active NPI
Dennis Elwood Johnson, M.D.
- Specialist
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00G603580
- Practice address
- 1610 S Court St
Visalia, CA 93277-4946 - Phone
- (559) 625-8898
- Fax
- (559) 625-8010
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00G603580 | CA | Primary |
Addresses
Primary practice location
1610 S Court St
Visalia, CA 93277-4946
Mailing address
1610 S Court St
Visalia, CA 93277-4946
Phone (559) 625-8898
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Wisconsin, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 W Willow Ave
Suite 202
Visalia, CA 93291-6238
Phone (559) 624-6570
Hospital & facility affiliations
- Kaweah Health Medical Center
- Adventist Health Hanford
- Sierra View Medical Center
- Adventist Health Tulare
- Adventist Health Reedley
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G603580 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Blue Line Medical Corp | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| Leo L Fong Corporation | Past | Accepting new patients |
Locations
840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
820 S Akers St
Ste 130
Visalia, CA 93277
Phone (516) 301-0937
325 S Willis St
Visalia, CA 93291
Phone (559) 624-4080
202 W Willow Ave
Ste 202
Visalia, CA 93291
Phone (559) 334-0181
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1447016050
-
- Primary Care Clinic/Center
- Visalia, CA
- NPI 1881984706
-
- Vascular Surgery Physician
- Clovis, CA
- NPI 1750015616
-
- Rural Health Clinic/Center
- Exeter, CA
- NPI 1043272172
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- Vascular Surgery Physician
- Clovis, CA
- NPI 1235609413
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1972512432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774946",
"telephone_number": "559-625-8898",
"fax_number": "559-625-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774946",
"telephone_number": "559-625-8898",
"fax_number": "559-625-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DENNIS",
"middle_name": "ELWOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "00G603580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.