J.R. JOHNSON, M.D., INC (NPI# 1184836066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184836066 |
| Entity Type | Organization |
| Organization Name | J.R. JOHNSON, M.D., INC |
| Practice Address |
901 Calle Amanecer Ste 100 San Clemente CA 92673 |
| Practice Telephone | 9492181470 |
| Practice Fax Number | 9492181471 |
| Mailing Telephone | 9492181470 |
| Mailing Fax Number | 9492181471 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES ROBERT JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 9492181470 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G69427 | CA | Ambulatory Health Care Facilities |
| Street Address |
901 CALLE AMANECER STE 100 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427159383 | Contemporary Healthcare Medical Group, Inc. | Clinic/Center | 3553 Camino Mira Costa, #a, San Clemente, CA 92672-3512 | 2006-09-25 |
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| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on J.R. JOHNSON, M.D., INC.
| 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.