| Staci R Johnson, MD | |
|
4550 Eucalyptus Ave, Chino, CA 91710-9215 | |
| (310) 629-8989 | |
| Not Available |
| Full Name | Staci R Johnson |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 27 Years |
| Location | 4550 Eucalyptus Ave, Chino, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790977502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A85895 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Imperial | 9739166927 | 17 |
| Entity Name | County Of Imperial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225258841 PECOS PAC ID: 9739166927 Enrollment ID: O20040706000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci R Johnson, MD 4550 Eucalyptus Ave, Chino, CA 91710-9215 Ph: (310) 629-8989 | Staci R Johnson, MD 4550 Eucalyptus Ave, Chino, CA 91710-9215 Ph: (310) 629-8989 |
Monish Parmar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Michael Ming-yun Lee, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 | |
Cynthia Ann Coles, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave., California Institute For Men, Chino, CA 91710 Phone: 909-597-1821 Fax: 909-802-1051 | |
Dr. Rachel Jesunathadas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Mr. Hassan M Mahfoozi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12598 Central Ave #110, Chino, CA 91710 Phone: 909-517-2020 Fax: 909-517-2022 | |
Jeremy Hunter Fitzgerald, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Po Box 128, Chino, CA 91708 Phone: 909-597-1821 | |
Osmond Waheed, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 |