Dr Sara Whitacre Johnson, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Redondo Beach, California. Dr Sara Whitacre Johnson is licensed to practice in California (license number A117896) and her current practice location is 514 N Prospect Ave, Redondo Beach, California. She can be reached at her office (for appointments etc.) via phone at
(310) 937-8555.
NPI number for Dr Sara Whitacre Johnson is 1639450638 and her current mailing address is 5767 W Century Blvd Ste 400, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639450638.
Physician's Profile
| Full Name | Dr Sara Whitacre Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
|---|
| Location | 514 N Prospect Ave, Redondo Beach, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639450638
- Provider Enumeration Date: 09/02/2011
- Last Update Date: 07/23/2020
Medical Identifiers
Medical identifiers for Dr Sara Whitacre Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639450638 | NPI | - | NPPES |
| 1639450638 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | A117896 (California) | Secondary |
| 207P00000X | Emergency Medicine | 9753A (Wyoming) | Secondary |
| 207P00000X | Emergency Medicine | 9022551-1205 (Utah) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A117896 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sara Whitacre Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sara Whitacre Johnson, MD
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631
Ph: () - | Dr Sara Whitacre Johnson, MD
514 N Prospect Ave,
Redondo Beach, CA 90277-3036
Ph: (310) 937-8555 |
Reviews and Comments