DIANE L. JOHNSON, M.D., INC. (NPI# 1013163112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013163112 |
| Entity Type | Organization |
| Organization Name | DIANE L. JOHNSON, M.D., INC. |
| Practice Address |
2131 W 3rd St Los Angeles CA 90057-1901 |
| Mailing Address |
65 Pine Ave Long Beach CA 90802-4718 |
| Practice Telephone | 2134847111 |
| Practice Fax Number | 2132075620 |
| Mailing Telephone | 7144024685 |
| Mailing Fax Number | 8184620991 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | DIANE L. JOHNSON (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7144024685 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | G62317 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G62317 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | G62317 | 01 |
| Street Address |
2131 W 3RD ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124004304 | St Vincent Medical Center | General Acute Care Hospital | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2005-12-19 |
| 1740809284 | Becky Le-xuan Tran | Pharmacy Technician | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2020-04-14 |
| 1679125256 | Kpc Global Medical Center of Downtown Los Angeles LLC | General Acute Care Hospital | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1841842424 | Kpc Global Medical Center of Downtown Los Angeles LLC | Skilled Nursing Facility | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1740832328 | Kpc Global Medical Center of Downtown Los Angeles LLC | Rehabilitation Unit | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1386112761 | Albert Cho | Pharmacist | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2018-11-05 |
| 1790277135 | Axiom Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | 2131 W 3rd St, Los Angeles, CA 90057 | 2018-06-01 |
| 1982117024 | Robert James Hostetler | Orthopaedic Surgery | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2017-11-12 |
| 1225554231 | Alexander Raymond Camba | Occupational Therapist | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2017-08-21 |
| 1639556723 | Su-fen Chen | Pharmacist | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2015-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700339702 | Raheem Kajani | Internal Medicine | 1729 Cesar E. Chavez Ave, Los Angeles, CA 90033 | 2016-07-27 |
| 1255795076 | Ghazal Kabbach | Internal Medicine | 2020 Zonal Ave # Ird720, Los Angeles, CA 90089-0121 | 2016-04-07 |
| 1780989384 | Diagnostic Care Inc | Internal Medicine | 8635 W 3rd St Ste 1170w, Los Angeles, CA 90048-6104 | 2011-01-13 |
| 1861692667 | Ashraf Elsayegh Md A Professional Corporation | Internal Medicine | 2080 Century Park E Ste 608, Los Angeles, CA 90067-2009 | 2007-07-19 |
| 1588748180 | Nariman Saddad | Internal Medicine | 1440 Veteran Ave, Suite 234, Los Angeles, CA 90024-4838 | 2006-10-24 |
| 1841302122 | Raj K Batra | Internal Medicine | 11301 Wilshire Blvd # 111q, Division of Pulmonary and Critical Care Medicine, Los Angeles, CA 90073-1003 | 2006-08-31 |
| 1427088830 | Frederick Butler II | Internal Medicine | 616 Witmer Street, Los Angeles, CA 90017-2395 | 2006-07-03 |
| 1487130167 | Rock Hollow Critical Care Medical Group Inc | Internal Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027 | 2018-07-16 |
| 1447740493 | Varicose Relief Inc | Internal Medicine | 3130 W Olympic Blvd, Suite 360, Los Angeles, CA 90006-2484 | 2018-05-15 |
| 1396268041 | Bel Air Critical Care Medical Group, Inc. | Internal Medicine | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2017-07-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.