DIANE L. JOHNSON M.D. INC (NPI# 1417191990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417191990 |
| Entity Type | Organization |
| Organization Name | DIANE L. JOHNSON M.D. INC |
| Practice Address |
65 Pine Ave Suite 19 Long Beach CA 90802-4718 |
| Practice Telephone | 7144024685 |
| Practice Fax Number | 5628560389 |
| Mailing Telephone | 7144024685 |
| Mailing Fax Number | 5628560389 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Authorized Official Name | DR. DIANE L. JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 7144024685 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G62317 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G62317 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | G62317 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIV . NPI | 1013962273 | 01 |
| Street Address |
65 PINE AVE SUITE 19 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962273 | Diane L. Johnson | Internal Medicine | 65 Pine Ave, #19, Long Beach, CA 90802-4718 | 2006-05-24 |
| 1710361969 | Serenity for Life | Community/Behavioral Health | 65 Pine Ave, 360, Long Beach, CA 90802 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| 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 |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1679102248 | Revitalize Life Center A PC | Internal Medicine | 3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529 | 2020-04-06 |
| 1144864992 | Jonathan Nguyen Medical Clinic Inc | Internal Medicine | 555 E Pacific Coast Hwy Ste 102, Long Beach, CA 90806-5579 | 2019-11-05 |
| 1497251060 | Tak Lun Lau | Internal Medicine | 1101 El Mirador Ave, Long Beach, CA 90815-4422 | 2018-04-03 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1174972012 | Diego Ivan Kriger | Internal Medicine | 3816 Woodruff Ave Ste 412, Long Beach, CA 90808-2146 | 2016-06-10 |
| 1437537644 | Samaritana Medical Clinic Long Beach Inc | Internal Medicine | 1052 Atlantic Ave, Long Beach, CA 90813-3403 | 2015-05-08 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1700200938 | Neil H Caplan | Internal Medicine | 27 W Penn St, Long Beach, NY 11561-4003 | 2014-02-07 |
| 1093157596 | Concepcion A Enriquez | Internal Medicine | 3377 Long Beach Blvd, Long Beach, CA 90807-4408 | 2013-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.