AUTUMN MARIE JOHNSON (NPI# 1689862450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689862450 |
| Entity Type | Individual |
| Full Name | AUTUMN MARIE JOHNSON |
| Credential | PA-C |
| Practice Address |
7910 Frost St Suite 100 San Diego CA 92123-2771 |
| Mailing Address |
49255 87th St W Lancaster CA 93536-9445 |
| Practice Telephone | 8586345900 |
| Mailing Telephone | 9173281586 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2014-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639422652 | Autumn Johnson | Massage Therapist | 6903 Bonnie Ridge Dr, Apt T1, Baltimore, MD 21209-5164 | 2012-10-16 |
| 1487265823 | Autumn Haylee Johnson | Technician | 130 George St, Beckley, WV 25801-2648 | 2020-08-10 |
| 1003396912 | Autumn Johnson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-20 |
| 1457880510 | Autumn Lauren Johnson | Physician Assistant | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2017-06-12 |
| 1518404532 | Autumn Leigh Johnson | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2017-01-28 |
| 1588017057 | Autumn Johnson | Physical Therapist | 1547 Bypass Rd, Winchester, KY 40391-2714 | 2016-07-19 |
| 1902206741 | Autumn C Johnson | Social Worker | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2014-08-29 |
| 1386877868 | Autumn Johnson | Case Manager/Care Coordinator | 1041 W Bridge St, Phoenixville, PA 19460-4342 | 2009-08-31 |
| Street Address |
7910 FROST ST SUITE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487458 | Jadwiga M Alexiewicz | Internal Medicine | 7910 Frost St, Ste 220, San Diego, CA 92123-2771 | 2005-06-17 |
| 1023474442 | Diane Wintz Md Inc | Surgery | 7910 Frost St, Ste 450, San Diego, CA 92123-2771 | 2016-01-14 |
| 1104281088 | Carina Lee | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2015-12-21 |
| 1598132128 | Lisa Gwilliam | Nurse Practitioner | 7910 Frost St, Ste 200, San Diego, CA 92123-2771 | 2015-08-31 |
| 1699154401 | Synergy Specialists Medical Group | Specialist | 7910 Frost St, Suite 340, San Diego, CA 92123-2771 | 2015-05-26 |
| 1386037976 | Theresa Lawson | Registered Nurse | 7910 Frost St, San Diego, CA 92123-2771 | 2015-03-06 |
| 1740605070 | Christine Colon | Genetic Counselor, MS | 7910 Frost St, Suite 430, San Diego, CA 92123-2771 | 2014-02-24 |
| 1154762003 | Christina Raquel Tolentino | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2013-07-08 |
| 1992149447 | Rebecca Recker Adami | Obstetrics & Gynecology | 7910 Frost St, San Diego, CA 92123-2771 | 2013-04-25 |
| 1821431321 | Joann B Pun | Nurse Practitioner | 7910 Frost St, Ste 335, San Diego, CA 92123-2771 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| 1639776503 | Nathan Tuan Dinh | Physician Assistant | 8296 Via Escalada, San Diego, CA 92129-2223 | 2020-10-05 |
| 1750988671 | Denise Aquino | Physician Assistant | 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 | 2020-10-04 |
| 1962009183 | Courtney Krysl | Physician Assistant | 14434 Corte Lampara, San Diego, CA 92129-3818 | 2020-10-01 |
| 1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
| 1871104067 | Satoshi Ikeda | Physician Assistant | 16198 Paseo Del Sur, San Diego, CA 92127-6155 | 2020-08-12 |
| 1760009989 | Lili Tran | Physician Assistant | 8865 Calle Tragar, San Diego, CA 92129-2156 | 2020-07-03 |
| 1245857259 | Kendra Roberta Witt | Physician Assistant | 11396 Poblado Rd, San Diego, CA 92127-1351 | 2020-06-25 |
| 1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
| 1104441021 | Kira Ann Tellache | Physician Assistant | 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 | 2020-06-16 |
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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.