ELIZABETH JOHNSON (NPI# 1770766842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770766842 |
| Entity Type | Individual |
| Full Name | ELIZABETH JOHNSON |
| Credential | PA |
| Practice Address |
1510 E Herndon Ave Fresno CA 93720-3303 |
| Mailing Address |
1303 E Herndon Ave Ste 850 Fresno CA 93720-3309 |
| Practice Telephone | 5594502663 |
| Practice Fax Number | 5594502724 |
| Mailing Telephone | 5594507242 |
| Mailing Fax Number | 5594507470 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA22250 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TL1276 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA22250 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9105317 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1275169138 | Elizabeth Layla Johnson | Social Worker | 978 Dekalb Ave Apt 3, Brooklyn, NY 11221-6404 | 2020-03-22 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1174013957 | Elizabeth Johnson | Psychologist | 322 5th Ave Apt A, San Francisco, CA 94118-2310 | 2018-05-16 |
| 1245739937 | Elizabeth Anne Johnson | Specialist/Technologist | 900 Nw Bryant St, Pullman, WA 99163-3009 | 2018-02-08 |
| 1720591886 | Elizabeth Michele Johnson | Licensed Practical Nurse | 16 Dartmouth Rd, Highland Mills, NY 10930-2605 | 2017-11-13 |
| 1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
| 1619495934 | Elizabeth Johnson | Speech-Language Pathologist | 103 Briarbrook Dr, East Peoria, IL 61611-4474 | 2017-09-07 |
| 1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
| 1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
| Street Address |
1510 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710225891 | Lavanya Vl Bobba | Internal Medicine | 1510 E Herndon Ave, Fresno, CA 93720-3303 | 2013-01-23 |
| 1710215116 | Keith Morgan Quint | Internal Medicine | 1510 E Herndon Ave, Fresno, CA 93720 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720741 | Luis Rodriguez Gonzalez | Physician Assistant | 4730 Brazos Point Ln, Fresno, TX 77545-7968 | 2017-10-07 |
| 1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
| 1740326891 | Michael J Sinopoli | Physician Assistant | 4910 E Clinton Way Ste 101, Fresno, CA 93727-1560 | 2007-01-29 |
| 1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326604216 | Kelsey Tallman | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2019-05-15 |
| 1306402532 | Justin Frances Gagnon | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2019-05-13 |
| 1821532292 | Tran Luong | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2016-12-05 |
| 1487003414 | Maribel Manriquez | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2016-06-09 |
| 1558739052 | Kathryn L. Hanks | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-09-14 |
| Find all providers in FRESNO | ||||
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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.