SANDRA C JOHNSON (NPI# 1699866079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699866079 |
| Entity Type | Individual |
| Full Name | SANDRA C JOHNSON |
| Credential | MD |
| Practice Address |
635 Anderson Rd #10 Davis CA 95616-3505 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 5307581122 |
| Practice Fax Number | 5307581646 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G58830 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966147 | Sandra Johnson | Home Health | 2055 Walton Rd Ste 302, Overland, MO 63114-5805 | 2020-06-08 |
| 1598315624 | Sandra Johnson | Technician | 19 Knollwood Dr, Rockledge, FL 32955-3708 | 2019-09-20 |
| 1700443199 | Sandra Kay Johnson | Nurse Practitioner | 13332 Lenfant Dr, Fort Washington, MD 20744-6500 | 2019-05-21 |
| 1972064582 | Sandra Renee Johnson | Registered Nurse | Evergreen Public Schools, 13501 Ne 28th St., Vancouver, WA 98682-8091 | 2019-03-27 |
| 1447624440 | Sandra Johnson | Social Worker | 719 Mount Elon Church Rd, Hopkins, SC 29061-8670 | 2015-11-14 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1629207667 | Sandra Elizabeth Johnson | Social Worker | 3780 Tampa Rd Ste 105, Oldsmar, FL 34677-3030 | 2009-07-13 |
| 1083836852 | Sandra Y Johnson | Specialist | 1800 Edgewood Ave, West #164, Jacksonville, FL 32208-5928 | 2007-05-02 |
| 1487872057 | Sandra C. Johnson | Dentist | 270 Nassau Blvd, Garden City, NY 11530-5339 | 2007-04-20 |
| 1265656516 | Sandra K Johnson | Psychologist | 1001 Woodward Ave Fl 5, Detroit, MI 48226 | 2007-04-11 |
| Street Address |
635 ANDERSON RD #10 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135427 | Tracy Lee Basso | Podiatrist | 635 Anderson Rd, Ste 19, Davis, CA 95616-3505 | 2005-06-22 |
| 1194258293 | Tyler Poland | Chiropractor | 635 Anderson Rd, Ste 14, Davis, CA 95616-3505 | 2017-04-05 |
| 1487010062 | Scott Vermeulen | Orthotist | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2016-01-12 |
| 1174909402 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2015-08-10 |
| 1891058962 | David Lee Tomkins | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2012-06-22 |
| 1922382316 | Hong Joon Lee | Acupuncturist | 635 Anderson Rd, Suite 12a, Davis, CA 95616-3505 | 2011-10-04 |
| 1013143718 | Crystal Blankenship | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2009-06-09 |
| 1932364163 | Laura H Applebaum | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2008-07-28 |
| 1750559928 | Sutter Health | Non-Pharmacy Dispensing Site | 635 Anderson Rd, 10, Davis, CA 95616-3505 | 2008-02-11 |
| 1194891747 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, #10, Davis, CA 95616-3505 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| 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 |
|---|---|---|---|---|
| 1871029611 | Ana Lopez-vera | Family Medicine | 1112 Eagle Pl, Davis, CA 95616-5700 | 2017-05-11 |
| 1609285584 | Sharon Amon | Family Medicine | 2408 Elendil Ln, Davis, CA 95616-3044 | 2014-08-05 |
| 1558646513 | Pin-chieh Chiang | Family Medicine | 216 F Street, Ste141, Davis, CA 95616 | 2011-10-20 |
| 1265734925 | David K Leung | Family Medicine | 638 Coolidge St, Davis, CA 95616-3064 | 2010-11-30 |
| 1477648921 | Jeffrey Kraig Katzenmeyer | Family Medicine | 2020 Sutter Place, #101, Davis, CA 95616 | 2006-10-03 |
| 1710094529 | Rupert J.o. Visaya | Family Medicine | 3435 Verona Ter, Davis, CA 95618-6724 | 2006-08-25 |
| 1730294448 | Kenneth C Clay | Family Medicine | 2660 W Covell Blvd Ste C, Davis, CA 95616-5645 | 2006-08-20 |
| 1689602773 | Mark P Ewens | Family Medicine | 2330 W. Covell Blvd, Davis, CA 95616-5058 | 2006-06-29 |
| 1568498319 | Thomas W Ormiston | Family Medicine | 2330 W Covell Blvd, Davis, CA 95616-5658 | 2006-06-23 |
| 1306882030 | Sarah Sallee Jones | Family Medicine | 2030 Sutter Place, #2000, Davis, CA 95616 | 2006-06-21 |
| Find all providers in DAVIS | ||||
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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.