SUSAN B JOHNSON


Address: 606 Fallen Leaf Cir, San Ramon, CA 94583-5308
Phone: 9259010612

SUSAN B JOHNSON (NPI# 1396900874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396900874
Entity Type Individual
Full Name SUSAN B JOHNSON
Credential NNP
Practice Address 606 Fallen Leaf Cir
San Ramon
CA 94583-5308
Mailing Address 505 Parnassus Ave
San Francisco
CA 94143-2204
Practice Telephone 9259010612
Mailing Telephone 4153531365
Enumeration Date 2008-07-23
Last Update Date 2008-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
7534 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 606 FALLEN LEAF CIR
City SAN RAMON
State CA
Zip Code 94583-5308

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295375475 Angel Beatrice Mckneely Behavior Technician 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 2020-01-15
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1679055461 Mary Martineau Speech-Language Pathologist 210 Porter Dr Ste 120, San Ramon, CA 94583 2018-08-29
1336631332 Alison Jean Barnes Behavior Technician Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 2018-06-05
1730671975 Michael Federico Pharmacist 2735 Ascot Drive, San Ramon, CA 94583 2018-06-04
1508384843 Donor Network West Organ Procurement Organization 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 2017-09-07
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1386166205 Park Place Ambulatory Surgery Center Orthopaedic Surgery 100 Park Place, Suite 100, San Ramon, CA 94583 2017-07-12
1952822991 Virginia Rutledge Mosby Marriage & Family Therapist 3180 Crow Canyon Place #140, San Ramon, CA 94583 2017-06-29
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1235470360 Ria Bernardo Nurse Practitioner Ucla Ronald Reagan Medical Center 5 Nicu, 757 Westwood Plaza, Los Angeles, CA 90095-0001 2013-03-14
1295076727 Heidi Wilson-seger Nurse Practitioner 3020 Childrens Way # Mc5051, San Diego, CA 92123-4223 2013-03-07
1053604181 Audrey Kim Moore Nurse Practitioner 725 Welch Rd., Palo Alto, CA 94304 2011-05-23
1184945727 Lori Umanzio Nurse Practitioner 1150 N. Indian Ave, Palm Springs, CA 92262 2010-06-17
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1548474067 Gayle Anne Campbell Nurse Practitioner 10631 Escobar Dr, San Diego, CA 92124-2051 2007-05-10
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Competitor

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City SAN RAMON
Zip Code 94583

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Dataset Information

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.

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