KURT E JOHNSON (NPI# 1407881741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407881741 |
| Entity Type | Individual |
| Full Name | KURT E JOHNSON |
| Credential | M.D., INC. |
| Practice Address |
1040 Mangrove Ave Chico CA 95926-3509 |
| Practice Telephone | 5303450064 |
| Practice Fax Number | 5303450080 |
| Mailing Telephone | 5303450064 |
| Mailing Fax Number | 5303450080 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G59768 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | G59768 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G597680 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982110144 | Kurt Johnson | Specialist/Technologist | 10 Pond Ct, Wallingford, CT 06492-2142 | 2017-12-22 |
| 1609021351 | Kurt Phillip Johnson | Counselor | 25 Monte Vista Dr, Monterey, CA 93940 | 2008-11-21 |
| 1649493784 | Kurt A Johnson | Dentist | 3822 Wayne St, Erie, PA 16504-2275 | 2007-04-10 |
| 1891856688 | Kurt A Johnson | Chiropractor | 20671 Lake Forest Dr Ste B102, Lake Forest, CA 92630-7746 | 2006-12-13 |
| 1124005988 | Kurt S Johnson | Family Medicine | 3236 E Grand Ave, Suite G, Laramie, WY 82070-5100 | 2005-12-22 |
| 1598754913 | Kurt Darwin Johnson | Family Medicine | 187 Doctors Dr, Pearl, MS 39208-4042 | 2005-10-18 |
| 1902808322 | Kurt M Johnson | Pharmacist | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 2005-08-15 |
| 1306292206 | Kurt Johnson | Orthopaedic Surgery | 7200 Cambridge St, Houston, TX 77030-4202 | 2016-05-10 |
| 1063830149 | Kurt Norman Johnson | Psychiatry & Neurology | Msc 09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-04-04 |
| 1134465263 | Kurt M Johnson | Social Worker | 1606 Broad St, Phenix City, AL 36867-5081 | 2012-12-18 |
| Street Address |
1040 MANGROVE AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752877 | Gregory Lynn Davis | Obstetrics & Gynecology | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2005-06-30 |
| 1144680141 | Kevin R Sorensen | Emergency Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2016-03-03 |
| 1306277686 | Patria Mckiernan | Nurse Practitioner | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2013-12-11 |
| 1346687225 | Robert Stephen Avilla | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926 | 2013-05-31 |
| 1114030095 | Hugo A. Leon | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-08-16 |
| 1962422238 | Mangrove Medical Group | Clinic/Center | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-20 |
| 1871528117 | Dean P Smith | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-12 |
| 1437180312 | Barbara J Wilde | Nurse Practitioner | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| 1912938887 | Dewayne E Caviness | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| 1245261114 | Randall S Williams | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1992897771 | Stephen Dexter Peterson | General Practice | 185 E. 7th Ave., Suite D, Chico, CA 95926 | 2006-09-29 |
| 1528159340 | Richard H Brownley | General Practice | 888 Lakeside Village Commons, Chico, CA 95928-3979 | 2006-09-27 |
| 1235140278 | Randall Elton Caviness | General Practice | 1279 E 1st Ave Ste A, Chico, CA 95926-1542 | 2006-08-11 |
| 1881622587 | Kirk Casey, M.d., A Medical Corporation | General Practice | 2565 Ceanothus Ave Suite 150, Chico, CA 95973-7615 | 2006-06-29 |
| 1982687612 | Mark Allen Truhe | General Practice | 650 Rio Lindo Ave, Ste 10, Chico, CA 95926-1808 | 2005-11-28 |
| 1972918969 | Alfred David Villasenor | General Practice | 100 Independence Cir, Chico, CA 95973-0258 | 2014-06-27 |
| 1548441728 | Paul Maria Gahlinger | General Practice | 277 Cohasset Rd, Chico, CA 95926 | 2007-11-16 |
| 1578603122 | Ronald D. Johnson | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-06 |
| 1932248036 | Bradley Smith | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-05 |
| Find all providers in CHICO | ||||
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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.