| Richard A Johnson, MD | |
|
15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272-3620 | |
| (310) 459-7736 | |
| (310) 230-0284 |
| Full Name | Richard A Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 15200 W Sunset Blvd Ste 107, Pacific Palisades, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770596009 | NPI | - | NPPES |
| 00G375310 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G37531 (California) | Primary |
| Entity Name | Pacific Palisades Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215037049 PECOS PAC ID: 1153393517 Enrollment ID: O20040806001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Johnson, MD 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272-3620 Ph: (310) 459-7736 | Richard A Johnson, MD 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272-3620 Ph: (310) 459-7736 |
Dr. Jeffrey Alan Tipton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15150 W Sunset Blvd, Pacific Palisades, CA 90272 Phone: 213-952-9723 | |
Mrs. Ericka Marie Gair, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272 Phone: 310-459-7736 Fax: 310-230-0284 | |
Dr. Devora Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272 Phone: 310-829-8923 Fax: 424-212-5936 | |
Erin Lynne Imler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272 Phone: 310-459-2363 | |
Dr. Alexandra Titone, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Via De La Paz Ste 100, Pacific Palisades, CA 90272 Phone: 310-459-1901 | |
Dr. Bernard J Katz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr, 214, Pacific Palisades, CA 90272 Phone: 310-459-2363 Fax: 310-459-1517 | |
Krystyna Mcnicoll, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272 Phone: 310-829-8923 Fax: 424-212-5936 |