CORY JOHNSON (NPI# 1609372697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609372697 |
| Entity Type | Individual |
| Full Name | CORY JOHNSON |
| Credential | MD |
| Practice Address |
1001 Potrero Ave Bldg 80-83 San Francisco CA 94110-3518 |
| Mailing Address |
590 Minnesota St Unit 254 San Francisco CA 94107-3025 |
| Practice Telephone | 6282065252 |
| Practice Fax Number | 6282067505 |
| Mailing Fax Number | 6282067505 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A166923 | CA | Allopathic & Osteopathic Physicians |
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420318 | Cory Johnson | Dentist | 170 E Commonwealth Ave, South Salt Lake, UT 84115-2712 | 2020-06-01 |
| 1588097398 | Cory Johnson | Durable Medical Equipment & Medical Supplies | 2133 E Aberdeen Dr, Montgomery, AL 36116-1307 | 2013-08-15 |
| 1104392026 | Cory Johnson | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1730665837 | Cory A Johnson | Student in an Organized Health Care Education/Training Program | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2018-07-12 |
| 1780173849 | Cory Johnson | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2018-05-04 |
| 1851407282 | Cory T Johnson | Specialist | 2301 Mountain View Blvd, Suite A, Klamath Falls, OR 97601-1137 | 2006-08-21 |
| Street Address |
1001 POTRERO AVE BLDG 80-83 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871858399 | Marianna Kong | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2012-07-10 |
| 1700415072 | Michael Broder | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-07 |
| 1871122887 | Peter Callejo-black | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-02 |
| 1386272573 | Lily Barnard | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-01 |
| 1568090348 | Simone Vais | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-03-29 |
| 1013544055 | Martin Shapiro | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-03-26 |
| 1396372553 | Anna Teresa Dailey | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-03-26 |
| 1689201972 | Tiffany Phon | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-03-25 |
| 1023645355 | Cindy Johanna Saenz Leiva | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-03-25 |
| 1891322194 | Sarah Rosenwohl-mack | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849946 | Spora Health LLC | Family Medicine | 135 Dore St Unit A2, San Francisco, CA 94103-6816 | 2020-04-03 |
| 1265074942 | Stanley Padilla | Family Medicine | 786 27th St, San Francisco, CA 94131-1813 | 2019-10-14 |
| 1184283608 | Gaps Health Ca | Family Medicine | 1884 Greenwich St Apt 204, San Francisco, CA 94123-3500 | 2019-06-08 |
| 1831625821 | Paula Anne Braveman | Family Medicine | 25 Hill St, San Francisco, CA 94110-2312 | 2017-05-11 |
| 1619321304 | Jennifer Chen | Family Medicine | 845 Jackson St # B1, San Francisco, CA 94133-4851 | 2016-04-19 |
| 1043674815 | Helix Mobile Wellness and Research LLC | Family Medicine | 490 Post St Ste 239, San Francisco, CA 94102-1403 | 2016-04-07 |
| 1821454596 | Kathlene Cm Vannoy | Family Medicine | 522 2nd St Ste 101, San Francisco, CA 94107-1427 | 2016-01-11 |
| 1285029256 | Jennifer Traci-lynn Karlin | Family Medicine | 1001 Potrero Ave., Bldg 80-83, Sfgh Family Health Center, San Francisco, CA 94110-2859 | 2015-04-06 |
| 1265844799 | Stacy Hinako Akazawa | Family Medicine | 899 Valencia St Fl 1, San Francisco, CA 94110-1736 | 2014-06-02 |
| 1235541319 | Joyce Chin | Family Medicine | 2800 Fulton St, San Francisco, CA 94118-3924 | 2014-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.