Ryan C Johnson (NPI# 1023335072, PAC ID# 3577884709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1023335072 |
| PAC ID by PECOS | 3577884709 |
| Professional Enrollment ID | I20150530000244 |
| Full Name | Ryan C Johnson |
| Organization Legal Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Address |
1101 Van Ness Ave San Francisco CA 94109-6919 |
| Phone Number | 4156002200 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2668451980 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050008 | CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP |
| 050047 | CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 051329 | SUTTER LAKESIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 180 Rowland Way, Novato, CA 94945-5009 | 4152091300 | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| 1101 Van Ness Ave, San Francisco, CA 94109-6919 | 4156002200 | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Organization Legal Name | CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Christopher Moretto | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Richard Garcia Kennedy | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Ian M Jaffee | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Bella Goyal | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Maria M Patino | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Heba S Kamal | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Jon C Ross | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Shine S Yun | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Judith Ann Doyle | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Andrew J Bandy | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Street Address |
1101 VAN NESS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip | 94109-6919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Christopher Moretto | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Richard Garcia Kennedy | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Tiffany D Joe | Emergency Medicine | San Francisco Emergency Medical | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Thomas R Dalton | Emergency Medicine | San Francisco Emergency Medical | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Ian M Jaffee | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Bella Goyal | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Joey D English | Neurology | California Advanced Imaging Medical Associates, Inc. | 1101 Van Ness Ave, San Francisco, CA 94109-6975 |
| Daniel Murph | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 1101 Van Ness Ave, San Francisco, CA 94109-6975 |
| Maria M Patino | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Heba S Kamal | Pathology | California Pacific Pathology Medical Group | 1101 Van Ness Ave, San Francisco, CA 94109-6919 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail J Goetz | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kari Jo Vanocker | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kenneth B Maybury | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Martin S Liberman | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Stephen E Hall | Psychiatry | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Loren Clifford Stolle | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Richard J Moore | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Ahvie Herskowitz | Internal Medicine | 1700 California St, Suite 520, San Francisco, CA 94109-0430 | |
| Kaveri Korgavkar Karhade | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Eric Petrie Smith | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Find all physicians in zip 94109 | |||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
| Specialty | PATHOLOGY |
| City + Specialty | SAN FRANCISCO + PATHOLOGY |
Please comment or provide details below to improve the information on Ryan C Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.