Dr Gary Ronald Johnson, MD | |
588 W. St.charles Street, San Andreas, CA 95249 | |
(209) 754-1851 | |
(209) 754-0231 |
Full Name | Dr Gary Ronald Johnson |
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Gender | Male |
Speciality | General Practice |
Experience | 51 Years |
Location | 588 W. St.charles Street, San Andreas, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114013513 | NPI | - | NPPES |
00G277550 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G27755 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iron Point Home Health Care Inc | Folsom, CA | Home health agency |
United Home Care Of Northern California | Jackson, CA | Home health agency |
Home Health Of California Inc | Stockton, CA | Home health agency |
Mark Twain Medical Center | San andreas, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Adventist Health Sonora | Sonora, CA | Hospital |
Avalon Health Care - San Andreas | San andreas, CA | Nursing home |
Entity Name | Gary R Johnson Md, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073695557 PECOS PAC ID: 8628015815 Enrollment ID: O20050408000989 |
Entity Name | Heritage Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801666235 PECOS PAC ID: 3577908029 Enrollment ID: O20240223003698 |
Mailing Address | Practice Location Address |
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Dr Gary Ronald Johnson, MD Po Box 580, San Andreas, CA 95249 Ph: (209) 754-1851 | Dr Gary Ronald Johnson, MD 588 W. St.charles Street, San Andreas, CA 95249 Ph: (209) 754-1851 |