STEVEN G. JOHNSON DENTAL CORPORATION (NPI# 1770975492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770975492 |
| Entity Type | Organization |
| Organization Name | STEVEN G. JOHNSON DENTAL CORPORATION |
| Other Organization Name | JOHNSON FAMILY DENTAL |
| Practice Address |
5800 Santa Rosa Rd Suite 101 Camarillo CA 93012-7056 |
| Practice Telephone | 8059878782 |
| Practice Fax Number | 8059875649 |
| Mailing Telephone | 8059878782 |
| Mailing Fax Number | 8059875649 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MS. AMY LOUISE BUTTERY (OPERATIONS SUPPORT MANAGER) |
| Authorized Official Telephone | 8054561235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA DENTAL LICENSE | 42163 | 01 |
| Other Name | Type Code |
|---|---|
| Johnson Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477119956 | Steven G. Johnson Dental Corporation | Dentist | 745 E Betteravia Rd, Santa Maria, CA 93454-7024 | 2019-05-10 |
| 1639698913 | Steven G. Johnson Dental Corporation | Dentist | 7050 Hollister Ave Ste A-1, Goleta, CA 93117-2809 | 2017-09-18 |
| 1457761983 | Steven G. Johnson Dental Corporation | Dentist | 103 S Mills Rd Ste 101, Ventura, CA 93003-3456 | 2014-05-06 |
| 1083114045 | Steven G. Johnson Dental Corporation | Dentist | 1620 Newbury Rd Ste 5, Newbury Park, CA 91320-3401 | 2018-02-16 |
| 1316451784 | Steven G. Johnson Dental Corporation | Clinic/Center | 225 N Santa Rosa St, San Luis Obispo, CA 93405-1324 | 2017-11-21 |
| 1285143495 | Steven G. Johnson Dental Corporation | Dentist | 3906 State St, Santa Barbara, CA 93105-3114 | 2017-09-20 |
| 1922527209 | Steven G. Johnson Dental Corporation | Dentist | 305 E Port Hueneme Rd, Port Hueneme, CA 93041-3222 | 2017-09-18 |
| 1912152752 | Steven G. Johnson Dental Corporation | Dentist | 678 Alamo Pintado Rd, Solvang, CA 93463-2200 | 2008-11-20 |
| 1447426440 | Steven G. Johnson Dental Corporation | Dentist | 3906 State St, Santa Barbara, CA 93105-3114 | 2008-04-30 |
| Street Address |
5800 SANTA ROSA RD SUITE 101 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-7056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417917386 | Milton W. Chu | Ophthalmology | 5800 Santa Rosa Rd, Ste 111, Camarillo, CA 93012-7056 | 2006-03-24 |
| 1568000560 | Gabrielle Marie Colina | Pharmacist | 5800 Santa Rosa Rd, Camarillo, CA 93012-7056 | 2019-12-20 |
| 1386124196 | Rhicha Upadhyay | Pharmacist | 5800 Santa Rosa Rd, Camarillo, CA 93012-7056 | 2018-08-21 |
| 1679000640 | Min Kim | Pharmacist | 5800 Santa Rosa Rd, Camarillo, CA 93012-7056 | 2017-05-21 |
| 1194177113 | Thuc Tran Howard | Pharmacist | 5800 Santa Rosa Rd, Camarillo, CA 93012-7056 | 2016-07-01 |
| 1871919126 | Community Memorial Health System | Allergy & Immunology | 5800 Santa Rosa Rd, Ste 149, Camarillo, CA 93012-7056 | 2014-03-11 |
| 1114121910 | Lawrence Perry Reed | Dentist | 5800 Santa Rosa Rd, Suite 101, Camarillo, CA 93012-7056 | 2007-06-14 |
| 1346283132 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 5800 Santa Rosa Rd, Camarillo, CA 93012-7056 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216147 | Olivia Sugimoto | Dentist | 5800 Santa Rosa Rd Ste 101, Camarillo, CA 93012-7060 | 2019-07-14 |
| 1558728139 | Michael Acasio | Dentist | 70 E Daily Dr, Camarillo, CA 93010-5803 | 2016-01-27 |
| 1407144165 | Sukhanchal G Saini | Dentist | 4900 Verdugo Way, Suite A, Camarillo, CA 93012 | 2011-07-15 |
| 1750610127 | Cristen Dismuke Whitmer | Dentist | 4000 Calle Tecate Ste 206, Camarillo, CA 93012-5286 | 2009-12-15 |
| 1629213335 | Stars Dental Inc. | Dentist | 1727 E Daily Dr, Suite H, Camarillo, CA 93010-6202 | 2008-12-09 |
| 1841479854 | Roland E Schelenz | Dentist | 70 Daily Dr, Camarillo, CA 93010-5803 | 2007-10-25 |
| 1841486925 | Michael Karl Gerbovaz | Dentist | 401 Mobil Ave Ste 1, Camarillo, CA 93010-6329 | 2007-09-21 |
| 1710198510 | Stephen William Treible | Dentist | 5249 Mission Oaks Blvd, Camarillo, CA 93012-5403 | 2007-05-24 |
| 1679604169 | Paul A Peterson Dds Inc | Dentist | 400 W Ventura Blvd #165, Camarillo, CA 93010 | 2007-03-08 |
| 1811025836 | Neda Lisa Setareh | Dentist | 1727 Daily Dr Ste H, Camarillo, CA 93010-6202 | 2007-03-01 |
| Find all providers in CAMARILLO | ||||
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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.