DR. LOIS DORENE JOHANSON (NPI# 1740449974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740449974 |
| Entity Type | Individual |
| Full Name | DR. LOIS DORENE JOHANSON |
| Credential | M.D. |
| Practice Address |
625 Steele Ln Santa Rosa CA 95403-3127 |
| Mailing Address |
17820 Pinto Way Monument CO 80132-8323 |
| Practice Telephone | 7075764800 |
| Practice Fax Number | 7075764812 |
| Mailing Telephone | 7194819457 |
| Mailing Fax Number | 7194818386 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A24084 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
625 STEELE LN |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215016993 | Redwood Regional Medical Group, Inc. | Surgery | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2006-11-03 |
| 1801413901 | Margot Elizabeth Denon-cardarelli | Counselor | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2020-07-06 |
| 1487275327 | Brenda Adele Tafolla | Clinic/Center | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2020-05-01 |
| 1700421005 | Pamela Leanne Brophy | Counselor | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2019-11-10 |
| 1710162292 | Sutter Medical Foundation | Radiology | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2008-01-03 |
| 1508052572 | Sutter Medical Group of The Redwoods | Radiology | 625 Steele Ln, Santa Rosa, CA 95403-3127 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689890444 | Santa Rosa Imaging Medical Center | Radiology | 3536 Mendocino Ave Ste 280, Santa Rosa, CA 95403-3634 | 2007-04-18 |
| 1689740292 | Shirley Esther Beshany | Radiology | 640 Jean Marie Drive, Santa Rosa, CA 95403 | 2006-11-27 |
| 1245241462 | Redwood Regional Medical Group, Inc. | Radiology | 3540 Mendocino Ave Ste 100, Santa Rosa, CA 95403-2276 | 2006-08-11 |
| 1053342212 | Durba Dutta | Radiology | 3883 Airway Dr Ste 100, Santa Rosa, CA 95403 | 2006-07-06 |
| 1184245870 | Dona Pierantoni Brumbley | Radiology | 1701 4th St, Santa Rosa, CA 95404-3658 | 2020-05-04 |
| 1821417296 | Nicholas Mcgarvey | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2014-04-14 |
| 1326461708 | Redwood Radiology Group Inc | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2014-01-21 |
| 1336481886 | Steven J Rockoff | Radiology | 3883 Airway Dr Ste 100, Santa Rosa, CA 95403-1672 | 2013-03-22 |
| 1720373376 | Anusuya Mokashi | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2011-06-12 |
| 1043531643 | Gary Raymond Roper | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2010-06-17 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on DR. LOIS DORENE JOHANSON.
| 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.