| Dr Thomas Martin Johnson, MD | |
|
1225 W 190th St Ste 280, Gardena, CA 90248-4305 | |
| (877) 515-8113 | |
| (877) 538-2102 |
| Full Name | Dr Thomas Martin Johnson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1225 W 190th St Ste 280, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639136534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G081064 (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Entity Name | Ehab Yacoub Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Martin Johnson, MD 2040 Vista De La Vina, Templeton, CA 93465-8348 Ph: (805) 975-3577 | Dr Thomas Martin Johnson, MD 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (877) 515-8113 |
Dr. Manuel Ramon Mota-castillo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Mrs. Adeshewa Adekunbi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Dr. Alvin Parker, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Dr. Fabian Onyeka Ogala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Alison Mitchell, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Ronald G St. Hill, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Dr. Scott Bruce Gladstone, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 |