JOSEPH KEVIN JOHNSON (NPI# 1194906107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194906107 |
| Entity Type | Individual |
| Full Name | JOSEPH KEVIN JOHNSON |
| Credential | MD |
| Practice Address |
999 S Fairmont Ave Ste 130 Lodi CA 95240-5141 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 2093662001 |
| Practice Fax Number | 2093662024 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36524 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | UNITED HEALTH | 841541697 | 01 |
| CO | RAIL ROAD MEDICARE | DD7190 | 01 |
| CO | 01365246 | 05 | |
| CO | BC/BS | 841541697 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346701117 | Joseph Johnson | Case Manager/Care Coordinator | 307 Sw C Ave, Lawton, OK 73501-4016 | 2019-03-26 |
| 1114418480 | Joseph H Johnson | Optometrist | 2831 W 1150 S, Syracuse, UT 84075-5114 | 2018-05-22 |
| 1619347945 | Joseph Johnson | Counselor | 9377 Delores Dr, Shreveport, LA 71118-3304 | 2015-09-29 |
| 1821486853 | Joseph Anthony Johnson | Counselor | 2091 Professional Dr Ste D, Flint, MI 48532-3657 | 2014-12-29 |
| 1336576602 | Joseph D. Johnson | Counselor | 448 Belleville St, New Orleans, LA 70114-1115 | 2013-10-02 |
| 1790042539 | Joseph Wong Johnson | Dentist | 8417 W 101st Street Cir, Bloomington, MN 55438-1914 | 2012-04-18 |
| 1134493455 | Joseph D Johnson | Chiropractor | 9170 E Bahia Dr Ste 108, Scottsdale, AZ 85260-1530 | 2012-03-05 |
| 1831467745 | Joseph Junior Johnson | Naturopath | 18 Reef Rd, Fairfield, CT 06824-5920 | 2011-12-06 |
| 1215180583 | Joseph Kelly Johnson | Pharmacist | 495 W Main St, Lebanon, KY 40033-1322 | 2008-10-30 |
| 1306007877 | Joseph N Johnson | Anesthesiology | 14 Tetilla Rd, Santa Fe, NM 87508-2203 | 2008-06-18 |
| Street Address |
999 S FAIRMONT AVE STE 130 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851755185 | Gayathri Devi Kalva | Internal Medicine | 999 S Fairmont Ave Ste 130, Lodi, CA 95240-5141 | 2016-04-13 |
| 1780936906 | George V Dous | Internal Medicine | 999 S Fairmont Ave Ste 130, Lodi, CA 95240 | 2012-10-11 |
| 1063690717 | Harpreet Singh Parmar | Internal Medicine | 999 S Fairmont Ave Ste 130, Lodi, CA 95240-5141 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720420052 | Alycia Gail Findlay | Internal Medicine | 225 Elyria St Ste 102, Lodi, OH 44254-1031 | 2013-07-29 |
| 1023315223 | First Care Providers, LLC | Internal Medicine | 55 Mckinley Ave, Lodi, NJ 07644-2920 | 2011-02-24 |
| 1215149323 | Inpatient Services of California, Inc., A Medical Corporation | Internal Medicine | 975 S. Fairmont Ave, Lodi, CA 95240 | 2007-05-03 |
| 1437292612 | Tomio T. Odama | Internal Medicine | 1117 W Tokay St, Suite A, Lodi, CA 95240-3844 | 2007-02-15 |
| 1730255670 | Graciano B Dichoso | Internal Medicine | 402 Highland Dr, Lodi, OH 44254-1216 | 2006-11-24 |
| 1760595888 | Ronald A. Rigolosi | Internal Medicine | 4 Hunter Street, 2a, Lodi, NJ 07644 | 2006-08-15 |
| 1184662777 | Nora Z Tossounian | Internal Medicine | 160 Essex St Ste 102, Lodi, NJ 07644-2701 | 2006-06-03 |
| 1619934809 | Corey B Colla | Internal Medicine | 918 S Fairmont Ave, Lodi, CA 95240-5119 | 2006-05-01 |
| 1790746097 | Vijay Thamman | Internal Medicine | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2006-03-28 |
| 1447239744 | Mobin P Ghavami | Internal Medicine | 900 S Fairmont Ave, Ste. A, Lodi, CA 95240-5119 | 2006-01-13 |
| Find all providers in LODI | ||||
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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.