Travis William Johnson (NPI# 1750315529, PAC ID# 4587552971) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1750315529 |
| PAC ID by PECOS | 4587552971 |
| Professional Enrollment ID | I20040308000819 |
| Full Name | Travis William Johnson |
| Organization Legal Name | KERN VALLEY HEALTHCARE DISTRICT |
| Address |
6412 Laurel Ave Lake Isabella CA 93240-9529 |
| Phone Number | 7603792681658 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1985 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8628069689 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051314 | KERN VALLEY HEALTHCARE DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 6412 Laurel Ave, Lake Isabella, CA 93240-9529 | 7603792681658 | KERN VALLEY HEALTHCARE DISTRICT |
| Organization Legal Name | KERN VALLEY HEALTHCARE DISTRICT |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Davis | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Tiffany C Frieson | Registered Dietitian Or Nutrition Professional | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Sanjiv Sharma | Cardiovascular Disease (cardiology) | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Miranda E Everett | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Robert Gross | Hospitalist | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Sarah J Lopez | Family Medicine | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Carlos Dv Montes | General Practice | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Gregory L Crawford | Emergency Medicine | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Bryan S Batdorf | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Peter Newell | Emergency Medicine | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Street Address |
6412 LAUREL AVE |
| City | LAKE ISABELLA |
| State | CA |
| Zip | 93240-9529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Davis | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Tiffany C Frieson | Registered Dietitian Or Nutrition Professional | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Sanjiv Sharma | Cardiovascular Disease (cardiology) | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Miranda E Everett | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Robert Gross | Hospitalist | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Sarah J Lopez | Family Medicine | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Carlos Dv Montes | General Practice | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Gregory L Crawford | Emergency Medicine | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Bryan S Batdorf | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Peter Newell | Emergency Medicine | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Stirling | Chiropractic | 3615 Wagon Wheel, Lake Isabella, CA 93240-9300 | |
| Mushtaq Ahmed | Pulmonary Disease | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Ned Devasia | Internal Medicine | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Arvind S Shah | Nephrology | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Rocio Lopez | Nurse Practitioner | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Peter S Mccauley | Nephrology | Advanced Kidney Medical Group | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Navdeep Kaur | Nurse Practitioner | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Kusum Desai | Pulmonary Disease | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Davia Cheri Starkey | Physician Assistant | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Larry E Waggoner | Optometry | 12134 Mountain Mesa Rd, Lake Isabella, CA 93240-9690 | |
| Find all physicians in zip 93240 | |||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAKE ISABELLA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.