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 |
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| Provider Name : | Dr. Richard Owen Johnson |
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| Credential : | MD |
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| Gender : | Male |
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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 |
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| Phone Number : | 760-924-4000 |
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| Fax Number : | 760-924-4091 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Aug, 2006 |
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| Last Updated On : | 16 Apr, 2013 |
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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 |
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| Medicare Enrollment ID : | I20151007001354 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Albany Medical College Of Union University |
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| Graduation Year : | 1972 |
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| Accepts Medicare? | Yes. Dr. Richard Owen Johnson accepts medicare insurance. |
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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 ID | No. of Members | Practice Address | Group Accepts Medicare |
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| County Of Alpine | 9234177007 | 2 | 75 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 | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | G29540 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Richard Owen Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G295401 | MEDICAID | CA | |
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 |
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| Phone Number : | 760-924-4000 |
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| Fax Number : | 760-924-4091 |
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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. Last updated on 08 January, 2024.