JEREMY M JOHNSON (NPI# 1679939342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679939342 |
| Entity Type | Individual |
| Full Name | JEREMY M JOHNSON |
| Credential | PA |
| Practice Address |
2815 S Main St Ste 210 Corona CA 92882-2533 |
| Mailing Address |
375 Rolling Oaks Dr Ste 210 Thousand Oaks CA 91361-1028 |
| Practice Telephone | 9517359211 |
| Practice Fax Number | 9517356200 |
| Mailing Telephone | 8054977015 |
| Mailing Fax Number | 8054977315 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
53153 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361 | 8054977015 | 8054977315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243493 | Jeremy Johnson | Specialist/Technologist, Other | 1016 Winding Way Dr, Georgetown, TX 78628-5201 | 2020-07-24 |
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1578197984 | Jeremy Ezra Johnson | Specialist/Technologist | 331 Tramway Dr # 16, Stateline, NV 89449-9812 | 2020-02-24 |
| 1194368779 | Jeremy Paul Johnson | Acupuncturist | 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 | 2019-10-25 |
| 1457838922 | Jeremy Braxton Johnson | Dietitian, Registered | 283 Walnut St, Baxley, GA 31513-0954 | 2018-07-26 |
| 1306384524 | Jeremy Johnson | Physical Therapy Assistant | 653 Golden Trl, Cave City, AR 72521-9432 | 2017-02-08 |
| 1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1811374549 | Jeremy V Johnson | Family Medicine | 500b Jefferson Blvd Ste 180, West Sacramento, CA 95605-2394 | 2015-05-01 |
| 1902200660 | Jeremy Johnson | Counselor | 1022 N Prospect St, Bowling Green, OH 43402-1335 | 2014-10-09 |
| Street Address |
2815 S MAIN ST STE 210 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003995754 | Jeffery Alan Muller | Family Medicine | 2815 S Main St Ste 210, Corona, CA 92882-2533 | 2006-11-03 |
| 1376692988 | Corona Family Care Inc. | Legal Medicine | 2815 S Main St Ste 210, Corona, CA 92882-2533 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677859 | Erika Crystal Reyes | Physician Assistant | 127 N Mckinley St Ste 101, Corona, CA 92879-6563 | 2016-01-25 |
| 1255710240 | Griselle Villar Ledesma | Physician Assistant | 10427 Corona Ave, Corona, NY 11368-2979 | 2015-05-22 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1457660359 | Rudy Manuel Ramirez | Physician Assistant | 13355 Green Mountain Dr, Corona, CA 92883-6229 | 2010-09-27 |
| 1720311012 | Hugh Kling Berkley | Physician Assistant | 760 Washburn Ave Ste 5/6, Corona, CA 92882-3303 | 2009-09-17 |
| 1740420918 | Sean David Totten | Physician Assistant | 1492 Fairmont Dr, Corona, CA 92882 | 2009-03-02 |
| 1477745768 | Rose M Ruiz-flores | Physician Assistant | 1530 W 6th St Ste 109, Corona, CA 92882-2784 | 2007-08-10 |
| 1902097926 | Lansdale John Peters | Physician Assistant | 1231 Kendrick Ct, Corona, CA 92881-8226 | 2007-08-06 |
| 1891865747 | Phuong Anh Thi La | Physician Assistant | 2071 Compton Ave, Suite 102, Corona, CA 92881-7278 | 2006-11-08 |
| 1366525461 | Carina Julie-ann Moscoso | Physician Assistant | 2250 S. Main St., Suite 201, Corona, CA 92882-2536 | 2006-10-23 |
| Find all providers in CORONA | ||||
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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.