DR. DUSTIN KEITH JOHNSON (NPI# 1194968339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194968339 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN KEITH JOHNSON |
| Credential | M.D. |
| Practice Address |
795 El Camino Real Palo Alto CA 94301-2302 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6508532955 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A129671 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Lawrence Expy, Department 104, Santa Clara, CA 950515173 | 4088515076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518426808 | Dustin Johnson | Behavioral Analyst | 4690 S Lakeshore Dr Apt 3008, Tempe, AZ 85282-1161 | 2019-03-15 |
| 1861965899 | Dustin Johnson | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2019-01-02 |
| 1699204065 | Dustin Wayne Johnson | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-06-08 |
| 1942611645 | Dustin Johnson | Hearing Instrument Specialist | 2031 W Alameda Ave, Burbank, CA 91506-2958 | 2014-05-15 |
| 1669720942 | Dustin Johnson | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 1.134, Houston, TX 77030-1501 | 2012-08-17 |
| 1770841405 | Dustin Paul Johnson | Chiropractor | 213 State St W, Detroit Lakes, MN 56501-3005 | 2012-05-01 |
| 1467739318 | Dustin Howard Johnson | Pharmacist | 600 Old Clairton Rd, Pittsburgh, PA 15236-4313 | 2011-11-07 |
| 1033439492 | Dustin Lee Johnson | Radiology | 1805 27th St, Portsmouth, OH 45662-2640 | 2010-06-09 |
| Street Address |
795 EL CAMINO REAL |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248085 | Wendy Levine | Occupational Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2005-07-07 |
| 1932706637 | Ashley Powell | Occupational Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-10-06 |
| 1568069268 | Madeline Manion | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-10-06 |
| 1245847565 | Sandrine Nicolet | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-09-30 |
| 1164058731 | Shannon Tram Anh Trinh | Pharmacist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-03-16 |
| 1205460243 | Caitlin Schubmehl | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-02-28 |
| 1518502350 | Odiri Maku | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-11-15 |
| 1841847167 | Rachel Zatkin Kizuka | Registered Nurse | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-08-21 |
| 1497300974 | Christopher Duane Asplund | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-08-02 |
| 1033673991 | Jingyun Yao | Speech-Language Pathologist | 795 El Camino Real, Palo Alto, CA 94301 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245673326 | Victoria A Young | Radiology | 725 Welch Rd Rm 1854, Palo Alto, CA 94304-1601 | 2013-04-09 |
| 1548499106 | Matthew Michael Bernbeck | Radiology | 1565 Stanford Ave, Palo Alto, CA 94306-1254 | 2009-07-03 |
| 1558509166 | Kirsten Alexandra Menn | Radiology | 243 Webster St, Palo Alto, CA 94301-1236 | 2009-02-04 |
| 1699954065 | Patrick Lee | Radiology | 470 University Ave, Palo Alto, CA 94301-1812 | 2007-11-01 |
| 1578767992 | Vythao Thi Tran | Radiology | 725 Welch Rd Rm 16814, Lucile Packard Childrens Hospital Dept. of Radiology, Palo Alto, CA 94304-1601 | 2007-06-11 |
| 1699709014 | Cheryl L Futerman | Radiology | 400 Channing Ave, Palo Alto, CA 94301-2801 | 2006-07-10 |
| 1073573093 | David Robert Moon | Radiology | 409 Fulton St, Palo Alto, CA 94301-1326 | 2006-03-24 |
| 1992770770 | Lester H Lee | Radiology | 893 Fielding Dr, Palo Alto, CA 94303-3646 | 2006-02-23 |
| 1568446979 | Ashwini Mysore Zenooz | Radiology | 806 Clara Dr, Palo Alto, CA 94303-3909 | 2005-11-30 |
| 1821610718 | Andrew Cummings | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-05-13 |
| Find all providers in PALO ALTO | ||||
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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.