Dr. Richard Owen Johnson

MD | Pediatrics | Male

Dr. Richard Owen Johnson, MD is a Mammoth Lakes, California based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Richard Owen Johnson is 85 Sierra Park Road, Suite A, Mammoth Lakes, California - 93546. He can be contacted on phone at 760-924-4000 and fax number 760-924-4091. Dr. Richard Owen Johnson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Richard Owen Johnson is 1063528362 which was assigned by NPPES on 21 Aug, 2006 and it was last updated on 16 Apr, 2013. Dr. Richard Owen Johnson license number is G29540 for Pediatrics (208000000X) in California.
Dr. Richard Owen Johnson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Richard Owen Johnson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Richard Owen Johnson
Credential :MD
Gender :Male
Business Address:
Dr. Richard Owen Johnson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :85 Sierra Park Road, Suite A
Mammoth Lakes, CA, 93546
United States
Phone Number :760-924-4000
Fax Number :760-924-4091
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1063528362
NPI Entity Type : Individual
First Enrolment Date : 21 Aug, 2006
Last Updated On : 16 Apr, 2013
Medicare Participation:
Dr. Richard Owen Johnson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :5597073700
Medicare Enrollment ID :I20151007001354
Primary Specialty :Pediatric Medicine
Medical School :Albany Medical College Of Union University
Graduation Year :1972
Accepts Medicare?Yes. Dr. Richard Owen Johnson accepts medicare insurance.
Group Practice Association:
Dr. Richard Owen Johnson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Richard Owen Johnson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
County Of Alpine9234177007275 Diamond Valley Rd
Unit B
Markleeville, CA - 961209579
Ph: 5306942146
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard Owen Johnson are as mentioned. Primary taxonomy code for Dr. Richard Owen Johnson, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesG29540CA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Richard Owen Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00G295401MEDICAIDCA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 660
Mammoth Lakes, CA, 93546-0660
United States
Phone Number :760-924-4000
Fax Number :760-924-4091
Business Location:
Patients can refer following map for directions to Dr. Richard Owen Johnson practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.