Individual provider Active NPI

Dennis Elwood Johnson, M.D.

  • Specialist
  • Visalia, CA
National Provider Identifier
1972512432
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G603580 Issued in CA
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

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000798 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911088968 Reassigns benefits to 1 organization

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
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

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 Hospital, Visalia, CA, CCN 050057
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00G603580CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Dec 26, 2017 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Dec 26, 2017 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.