DR. JAMES ROBERT JOHNSON (NPI# 1093864423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093864423 |
| Entity Type | Individual |
| Full Name | DR. JAMES ROBERT JOHNSON |
| Credential | M.D. |
| Practice Address |
901 Calle Amanecer Ste 100 San Clemente CA 92673-6278 |
| Mailing Address |
665 Camino De Los Mares 200 San Clemente CA 92673-2838 |
| Practice Telephone | 9492181482 |
| Practice Fax Number | 9492181470 |
| Mailing Telephone | 9494296000 |
| Mailing Fax Number | 9494296001 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G69427 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 5422000G694270 | 01 |
| CA | BLUE CROSS | 260042944 | 01 |
| RAILROAD MEDICARE | 080183937 | 01 | |
| TRICARE | 260042944926730000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652769 | James Johnson | Student in an Organized Health Care Education/Training Program | 30856 Molly B Rd, Lewes, DE 19958-3855 | 2020-09-02 |
| 1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
| 1912422767 | James Daniel Johnson | Speech-Language Pathologist | 2201 N 50th St, Fort Smith, AR 72904-5719 | 2017-08-12 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1518301092 | James Johnson | Counselor | 2816 Nw 27th St, Oklahoma City, OK 73107-2107 | 2013-04-26 |
| 1548513807 | James Allen Johnson Jr. | Counselor | 10604 E 38th St, Yuma, AZ 85365-6886 | 2012-10-23 |
| 1891045043 | James Allen Johnson | Pediatrics | 4350 Wendell Ln, Eugene, OR 97405-7038 | 2012-09-14 |
| 1588919161 | James Clifford Johnson | Dentist | 706 W Wellington Ave, Apt. #2, Chicago, IL 60657-5352 | 2012-07-19 |
| Street Address |
901 CALLE AMANECER STE 100 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669551750 | Lissa A Trevino | Physical Therapist | 901 Calle Amanecer, Ste 320, San Clemente, CA 92673-6278 | 2006-11-02 |
| 1598205452 | Devin Duval | Physical Therapist | 901 Calle Amanecer, Ste. 320, San Clemente, CA 92673-6278 | 2017-02-26 |
| 1013376086 | Amada Home Health | Home Health | 901 Calle Amanecer, Suite 360, San Clemente, CA 92673-6278 | 2016-02-18 |
| 1346617289 | Nicholas Burgert | Physical Therapist | 901 Calle Amanecer, San Clemente, CA 92673-6278 | 2015-08-26 |
| 1205222494 | Anthony Ly Schofer | Physical Therapy Assistant | 901 Calle Amanecer, Suite 320, San Clemente, CA 92673-6278 | 2015-04-14 |
| 1194113704 | Nicholas Everett Wilkinson | Physical Therapy Assistant | 901 Calle Amanecer, San Clemente, CA 92673-6278 | 2015-01-05 |
| 1881099448 | Derek Sanchez | Physical Therapist | 901 Calle Amanecer, Suite 320, San Clemente, CA 92673-6278 | 2014-10-24 |
| 1770867863 | Ralf Reuland M.d. Inc | Family Medicine | 901 Calle Amanecer, Suite 100, San Clemente, CA 92673-6278 | 2011-10-06 |
| 1770811440 | Shannon Leah Finnesy | Acupuncturist | 901 Calle Amanecer, Suite 320, San Clemente, CA 92673-6278 | 2009-11-18 |
| 1942447958 | Destiny Lee Bochinski | Physical Therapist | 901 Calle Amanecer, Suite 320, San Clemente, CA 92673-6278 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598104069 | Gruber Medical Corporation | Family Medicine | 1613 Vista Luna, San Clemente, CA 92673-3661 | 2013-06-18 |
| 1982945085 | Nancy Krehbiel Brownell | Family Medicine | 99 Via Sonrisa, San Clemente, CA 92673-5664 | 2013-03-14 |
| 1386790400 | Ocean Breeze Medical Group, Inc. | Family Medicine | 150 Avenida Cabrillo Ste A, San Clemente, CA 92672-5595 | 2007-01-25 |
| 1326198144 | Amit Batra | Family Medicine | 101 W Avenida Vista Hermosa Ste 120, San Clemente, CA 92672 | 2007-01-12 |
| 1609943646 | Fred Howell Nelson | Family Medicine | 707 Calle Amable, San Clemente, CA 92673-3046 | 2006-11-28 |
| 1487735726 | Sara Shokouhi | Family Medicine | 675 Camino De Los Mares Ste 280, San Clemente, CA 92673-2836 | 2006-10-17 |
| 1881706026 | John P Chard | Family Medicine | 665 Camino De Los Maes, #207, San Clemente, CA 92673 | 2006-08-31 |
| 1356353502 | Family and Holistic Health | Family Medicine | 1450 N El Camino Real Ste A, San Clemente, CA 92672-5909 | 2006-08-13 |
| 1033149968 | Brian Francis Haskins | Family Medicine | 151 Avenida Barcelona, San Clemente, CA 92672-4245 | 2006-07-04 |
| 1952338600 | Andrea A Roberson | Family Medicine | 105 Avenida De La Estrella Ste 1a, San Clemente, CA 92672-3985 | 2006-06-27 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.