GREG JOHNSON (NPI# 1871025049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871025049 |
| Entity Type | Individual |
| Full Name | GREG JOHNSON |
| Practice Address |
867 N Fair Oaks Ave Pasadena CA 91103-3050 |
| Practice Telephone | 6267986793 |
| Mailing Telephone | 6267986793 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578811527 | Greg L Johnson | Physical Therapy Assistant | 305 E Miel De Luna Ave, Tucumcari, NM 88401-3810 | 2012-08-23 |
| 1366467722 | Greg Sinding Johnson | Psychiatry & Neurology | 555 Dayton Street, Ste C, Edmonds, WA 92083-3476 | 2006-07-13 |
| 1013960269 | Greg R Johnson | Internal Medicine | 1900 Carew Street, Suite 3a, Fort Wayne, IN 46805-4765 | 2006-05-18 |
| 1669432142 | Greg Eric Johnson | Dentist | 104 Preston St, Hartford, CT 06114-2500 | 2006-03-27 |
| 1073886248 | Greg Michael Johnson | Psychologist | 142 E Maumee St, Adrian, MI 49221-2735 | 2012-02-17 |
| 1134429335 | Greg Johnson | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2010-10-22 |
| 1699928432 | Greg Anthony Johnson | Orthotist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2008-10-24 |
| 1548419138 | Greg Michael Johnson | Internal Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-09-18 |
| 1154416485 | Greg William Johnson | Counselor | 5301 Buckeystown Pike, Frederick, MD 21704-8370 | 2006-10-03 |
| 1508969973 | Greg W Johnson | Family Medicine | 130 E Boise Ave, Boise, ID 83706 | 2006-09-07 |
| Street Address |
867 N FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437229697 | Monica Vega | Marriage & Family Therapist | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2006-11-08 |
| 1104426832 | Andrea Christina Ortiz | Licensed Vocational Nurse | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-10-30 |
| 1174130090 | Mariana Vazquez Espinoza | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-09-24 |
| 1538772900 | Karina Nicol Ramos Melendrez | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-08-26 |
| 1942811252 | Omar Gonzalez | Social Worker | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-08-11 |
| 1871103572 | Maria Del Carmen Amador Gomez | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-08-06 |
| 1972112423 | Ralph Hardin | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2020-07-29 |
| 1457960148 | Kama Willis-jamison | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-07-28 |
| 1710596416 | Vanessa Thomas | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2020-07-28 |
| 1184232936 | Keonee N Lyles | Licensed Vocational Nurse | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1659906469 | Danielle Elisa Cook | Student in an Organized Health Care Education/Training Program | 1370 Old Water Oak Point Rd, Pasadena, MD 21122-2300 | 2020-03-12 |
| 1750933511 | Andrew Long | Student in an Organized Health Care Education/Training Program | 1632 Concordia Dr, Pasadena, MD 21122-6008 | 2019-07-11 |
| 1336791375 | Jianyin Li | Student in an Organized Health Care Education/Training Program | 100 W Wanut Street Suite 375, Pasadena, CA 91124-0001 | 2019-07-10 |
| 1669034039 | Mai Nojima | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2019-07-05 |
| 1912569997 | Katelyn Marie George | Student in an Organized Health Care Education/Training Program | 8028 Ritchie Hwy Ste 120, Pasadena, MD 21122-1069 | 2019-07-01 |
| 1427534767 | Susanna Sackitey | Student in an Organized Health Care Education/Training Program | 280 S Euclid Ave Apt 102, Pasadena, CA 91101-2760 | 2018-07-18 |
| Find all providers in PASADENA | ||||
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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.