NEIL G. JOHNSON, M.D. INC. (NPI# 1649481763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649481763 |
| Entity Type | Organization |
| Organization Name | NEIL G. JOHNSON, M.D. INC. |
| Practice Address |
18300 Us Highway 18 C/o St. Mary Medical Center Apple Valley CA 92307-2206 |
| Mailing Address |
Po Box 9160 San Bernardino CA 92427-0160 |
| Practice Telephone | 9098816427 |
| Practice Fax Number | 9098878708 |
| Mailing Telephone | 9098816427 |
| Mailing Fax Number | 9098878708 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | NEIL G JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 9098816427 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | G20232 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NHIC/NCA | ZZZ13874Z | 01 |
| CA | MEDICARE ID | ZZZ13874Z | 01 |
| CA | BLUE SHIELD PROVIDER # | ZZZ54436Z | 01 |
| CA | GR0079600 | 05 |
| Street Address |
18300 US HIGHWAY 18 C/O ST. MARY MEDICAL CENTER |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92307-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605432 | Riverside Radiology Medical Group, Inc. | Radiology | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2005-08-09 |
| 1376164996 | Danielle Riane Brasher | Physician Assistant | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2020-05-05 |
| 1548816747 | Crystle Lashone Rajania | Registered Nurse | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2019-08-13 |
| 1952860595 | Andrew Roger Ossa | Dietitian, Registered | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2019-03-13 |
| 1447738075 | Hospitalist Medicine Physicians of California - Apple Valley, PC | Internal Medicine | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2018-08-06 |
| 1801389507 | Cody Donahue | Physician Assistant | 18300 Us Highway 18, Apple Valley, CA 92307 | 2018-06-07 |
| 1912423997 | Ernelyn Javier Navarro | Social Worker | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2017-08-21 |
| 1194253377 | Paul Sangwook Rhee | Physician Assistant | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2017-05-31 |
| 1336591817 | Ajay Moganti | Internal Medicine | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2016-07-07 |
| 1881045359 | Harmandeep S Tinna | Internal Medicine | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106025 | Rajender S. Thakran, M.d., Inc | Specialist | 16030 Kamana Rd, Apple Valley, CA 92307 | 2020-02-13 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1184120784 | Frantz Jean-louis | Nurse Practitioner | 16134 Muni Rd, Apple Valley, CA 92307 | 2018-04-03 |
| 1053862078 | Ashley M Morello | Registered Nurse | Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 | 2016-10-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1396147419 | Aaa Family Medical Group | Family Medicine | 15995 Tuscola Rd Ste 202, Apple Valley, CA 92307 | 2014-09-19 |
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1639508526 | Meagan Katherine Blades | Physician Assistant | 18300 Outer Hwy 18, Apple Valley, CA 92307 | 2013-11-01 |
| 1720341555 | Jonathan Robert Cox | Dermatology | 18523 Corwin Rd Ste G, Apple Valley, CA 92307 | 2012-06-18 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| Find all providers in zip 92307 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972846483 | Murray A Thale Md A Prof Corp | Neurological Surgery | 17868 Highway 18 Suite 800, Apple Valley, CA 92307-1267 | 2013-04-03 |
| 1831147891 | Murray Allen Thale | Neurological Surgery | 17868 Hwy 18 Suite 800, Apple Valley, CA 92307-1271 | 2006-05-04 |
| 1932191350 | Wilbur Clarence Sanford | Neurological Surgery | 16085 Tuscola Rd, Suite 2, Apple Valley, CA 92307-1358 | 2005-08-22 |
| 1386954360 | Wilbur C Sanford Md Inc | Neurological Surgery | 16085 Tuscola Rd, Suite 2, Apple Valley, CA 92307-1358 | 2010-10-08 |
| 1740274380 | Neil Grant Johnson | Neurological Surgery | 18300 Us Highway 18, St. Mary Medical Center, Apple Valley, CA 92307-2206 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
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| City | APPLE VALLEY |
| Zip Code | 92307 |
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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.