| Samuel Elan Johnson, DO | |
|
3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | |
| (916) 865-1400 | |
| Not Available |
| Full Name | Samuel Elan Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3 Medical Plaza Dr, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326162991 | NPI | - | NPPES |
| 20A6457 | Other | OSTEOPATHIC MEDICAL LIC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A6457 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Elan Johnson, DO 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Samuel Elan Johnson, DO 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 Ph: (916) 865-1400 |
John Paul Youssry Kelada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Sunrise Ave, Roseville, CA 95661 Phone: 916-786-4700 Fax: 916-786-3912 | |
Dr. Jennifer Winnie Chou, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Joseph Regis Quinn, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Dr. Phong Anh Huynh, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Pradeep Johns, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-6352 | |
Gregory P. Ouligian, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Casey Roche, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |