DR. KENNETH ANDREW JOHNSON (NPI# 1851404263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404263 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ANDREW JOHNSON |
| Credential | M.D. |
| Practice Address |
3500 Barranca Pkwy Ste 130 Irvine CA 92606-8227 |
| Mailing Address |
Po Box 5486 Orange CA 92863-5486 |
| Practice Telephone | 9495526266 |
| Mailing Telephone | 8185500900 |
| Mailing Fax Number | 5052931524 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A65948 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD ID # | 00A659480 | 01 |
| CA | CALOPTIMA ID # | 00A659480385 | 01 |
| CA | 00A659480 | 05 | |
| CA | RAILROAD MEDICARE ID # | 050081654 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144952 | Kenneth Cornell Johnson Jr. | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-05-10 |
| 1043756414 | Kenneth Byron Johnson | Physical Therapist | 36 Lavelle Court, Unalaska, AK 99685 | 2017-01-10 |
| 1932565280 | Kenneth Johnson | Case Manager/Care Coordinator | 1138 N Dupre St, New Orleans, LA 70119-3204 | 2015-12-31 |
| 1003223298 | Kenneth Johnson | Specialist/Technologist | 6201 San Amaro Dr, Coral Gables, FL 33146-2407 | 2014-07-19 |
| 1831511807 | Kenneth Larry Johnson I | Local Education Agency (LEA) | 216 Ne 19th Ave, Pompano Beach, FL 33060-6743 | 2014-01-10 |
| 1700222544 | Kenneth Paul Johnson | Pharmacist | 506 Augsburg Ave, Bismarck, ND 58504-7005 | 2013-05-20 |
| 1528302635 | Kenneth James Johnson | Pharmacist | 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 | 2012-11-15 |
| 1760750194 | Kenneth Casper Johnson | Obstetrics & Gynecology | 3915 Skyline Rd, Carlsbad, CA 92008-2746 | 2011-12-13 |
| 1225305931 | Kenneth Lorenzo Johnson | Psychologist | 7605 W 7 Mile Rd, Detroit, MI 48221-2163 | 2011-11-23 |
| 1528371408 | Kenneth Johnson | Physical Therapist | 10753 Falls Rd Ste 235, Lutherville, MD 21093-4597 | 2010-07-20 |
| Street Address |
3500 BARRANCA PKWY STE 130 |
| City | IRVINE |
| State | CA |
| Zip Code | 92606-8227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032145 | Joseph Dean Mollner | Anesthesiology | 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | 2005-09-08 |
| 1740795079 | Michael J Kim, Md, Inc. | Anesthesiology | 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | 2017-12-08 |
| 1912291188 | Catherine B Chung M D Inc | Anesthesiology | 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | 2011-06-06 |
| 1316272974 | J Dean Mollner Md Inc | Anesthesiology | 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | 2009-10-14 |
| 1881632750 | Christopher Chang | Anesthesiology | 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | 2006-06-03 |
| 1629032891 | Brian M Levine | Anesthesiology | 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912384967 | Roxanne Betancourt | Behavioral Analyst | 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 | 2015-04-29 |
| 1942552096 | East Haradin | Acupuncturist | 3 Corporate Park, Irvine, CA 92606 | 2012-10-12 |
| 1730434622 | Fountain Modern Dentistry and Orthodontics, LLP | Dentist | 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 | 2012-07-17 |
| 1205100898 | Maria Del Pilar Aguero | Marriage & Family Therapist | 20 Corporate Park #118, Irvine, CA 92606 | 2012-02-29 |
| 1013292077 | Hanah &health, Inc. | Acupuncturist | 2691 Richter Ave Suite 120, Irvine, CA 92606 | 2011-10-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1154631869 | Frances Lam | Acupuncturist | 2400 Alton Ave., Ste. 208, Irvine, CA 92606 | 2010-10-15 |
| 1174848055 | Oc Physical Therapy Corporation | Clinic/Center | 62 Coporate Park, 145, Irvine, CA 92606 | 2010-04-02 |
| 1770714941 | Yuhong She | Obstetrics & Gynecology | 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 | 2009-08-05 |
| 1235396136 | Kevin K Lim | Dentist | 16525 Von Karman Ave, #f, Irvine, CA 92606 | 2008-05-19 |
| Find all providers in zip 92606 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457884504 | 64 Burnside Medical Consulting LLC | Anesthesiology | 70 Thoroughbred, Irvine, CA 92602-1829 | 2017-04-06 |
| 1861820292 | Michael H. Wong D.o. A Professional Corporation | Anesthesiology | 15 Bayleaf Ln, Irvine, CA 92620-1261 | 2013-10-22 |
| 1528402203 | Newport Spine and Physical Medicine | Anesthesiology | 19742 Macarthur Blvd Ste 110, Irvine, CA 92612-2408 | 2013-04-24 |
| 1952609570 | Neil S Shah | Anesthesiology | 3131 Michelson Dr, Unit 1304, Irvine, CA 92612-5658 | 2011-03-06 |
| 1154569523 | Pacific Coast Anesthesia LLC | Anesthesiology | 4790 Irvine Blvd Ste 105-355, Irvine, CA 92620-1973 | 2009-01-23 |
| 1932344058 | Husam Alsamman | Anesthesiology | 3943 Irvine Blvd # 35, Irvine, CA 92602-2400 | 2008-12-03 |
| 1164603882 | Ahmed A. Serag | Anesthesiology | 15 Delamesa E, Irvine, CA 92620-1838 | 2007-11-21 |
| 1356567572 | Edward Hsu | Anesthesiology | 1014 Simplicity, Irvine, CA 92620-2875 | 2007-04-17 |
| 1407993595 | Gexin and Associates, A Medical Corporation | Anesthesiology | 15825 Laguna Canyon Rd Ste 100, Irvine, CA 92618-2126 | 2007-01-30 |
| 1023174752 | Samuel Ryan Park | Anesthesiology | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2006-12-28 |
| Find all providers in IRVINE | ||||
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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.