FREDERICK G. JOHNSON (NPI# 1376555268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376555268 |
| Entity Type | Individual |
| Full Name | FREDERICK G. JOHNSON |
| Credential | M.D. |
| Practice Address |
1400 E Palomar St Chula Vista CA 91913-1800 |
| Practice Telephone | 8584992701 |
| Mailing Telephone | 8584992701 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G57157 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G571570 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164794202 | Frederick Farman Johnson IIi | Contractor | 334 Ne Irving Avenue, Portland, OR 97702 | 2012-02-06 |
| 1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
| 1003985524 | Frederick Stephen Johnson | Dentist | 221 W Penn Ave, Ste 213, Cleona, PA 17042 | 2006-11-07 |
| 1982182960 | Frederick Johnson Iv | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-08-01 |
| 1295234318 | Frederick Leon Johnson Jr. | Counselor | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2018-02-04 |
| 1760723159 | Frederick L Johnson | Physical Therapy Assistant | 1205 Sw 29th St, Topeka, KS 66611-1203 | 2013-03-08 |
| 1619174406 | Frederick O Johnson | Dentist | 225 Front St, Binghamton, NY 13905-2424 | 2007-06-27 |
| 1104983360 | Frederick L Johnson | Anesthesiology | 987 Parallel Dr, Lakeport, CA 95453-5702 | 2007-01-03 |
| 1740375971 | Frederick W Johnson | Surgery | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2006-10-04 |
| 1205851672 | Frederick C Johnson | Pediatrics | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2006-07-13 |
| Street Address |
1400 E PALOMAR ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91913-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823929 | Farschad K Birdjandi | Internal Medicine | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2005-09-29 |
| 1932662707 | David Chung | Physical Therapist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2019-04-09 |
| 1487170494 | Ashley See | Physical Therapist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2017-08-22 |
| 1891145249 | Rhian Hardee | Speech-Language Pathologist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2016-06-16 |
| 1154708378 | Susy Grajeda Tsuruta | Pediatrics | 1400 E Palomar St, Chula Vista, CA 91913 | 2015-04-27 |
| 1568859411 | Sheri Ann Borbon Cameron | Internal Medicine | 1400 E Palomar St, Chula Vista, CA 91913 | 2015-04-17 |
| 1457743080 | Jerald Lee Nickelson | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2015-02-18 |
| 1700284817 | Jocelyn Tam | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-05 |
| 1023416104 | Richard Bonnoront | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-05 |
| 1003213141 | Michael Elyea | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
| 1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
| 1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
| 1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
| 1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
| 1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
| 1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
| 1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
| Find all providers in zip 91913 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716845 | Natalie Hollick | Pediatrics | 865 Third Ave Ste 101, Chula Vista, CA 91911-1349 | 2016-04-25 |
| 1114182094 | Carlos Jorge Sanchez | Pediatrics | 1635 3rd Ave Ste J, Chula Vista, CA 91911-5867 | 2008-07-21 |
| 1881884054 | Truc Hac Nguyen | Pediatrics | 2440 Fenton St, Suite 100, Chula Vista, CA 91914-3516 | 2007-07-25 |
| 1669680351 | Maria Corazon Matias Piansay | Pediatrics | 1935 Corte Verbena, Chula Vista, CA 91914-4619 | 2007-05-18 |
| 1538215678 | Childrens Medical Group of South Bay | Pediatrics | 280 E Street, Chula Vista, CA 91910 | 2007-01-25 |
| 1467505834 | Chetan Amritlal Mistry | Pediatrics | 865 3rd Ave Ste 101, Chula Vista, CA 91911-1349 | 2007-01-19 |
| 1144238098 | Diana Ines Mosquera | Pediatrics | 769 Medical Center Ct Ste 300, Chula Vista, CA 91911 | 2006-08-04 |
| 1417916107 | Pamela Velasco Atienza | Pediatrics | 890 Eastlake Parkway, Suite 200, Chula Vista, CA 91914 | 2006-03-21 |
| 1528039526 | Abraham E Broudy | Pediatrics | 2440 Fenton St., Ste. 100, Chula Vista, CA 91914 | 2006-01-28 |
| 1881665990 | Edward J Ottenheimer Jr. | Pediatrics | 685 3rd Ave, Chula Vista, CA 91910 | 2006-01-27 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91913 |
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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.