DR. JIMMY JOHANNES (NPI# 1275837205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275837205 |
| Entity Type | Individual |
| Full Name | DR. JIMMY JOHANNES |
| Credential | M.D. |
| Practice Address |
3828 Schaufele Ave Ste 200 Long Beach CA 90808-1793 |
| Mailing Address |
17360 Brookhurst St Attn: Credentialing Department Fountain Valley CA 92708-3720 |
| Practice Telephone | 6572418990 |
| Practice Fax Number | 7146654600 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | CA119213 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
CA119213 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3828 SCHAUFELE AVE STE 200 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315919 | David Mark Shavelle | Specialist | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2005-09-08 |
| 1942723994 | Yumi Mendez-ishizaki | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2017-07-21 |
| 1851786156 | Van Quoc Pham | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2015-04-02 |
| 1124431374 | Deborah Karm | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-06-05 |
| 1992116388 | Briana Livingston | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-05-19 |
| 1487065215 | Shelly Dutt | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2014-05-14 |
| 1447516513 | Joshua Snodgrass | Family Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2012-04-03 |
| 1891012860 | Christopher Yee | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-29 |
| 1861719486 | Thomas Jiang | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-21 |
| 1154580074 | Aditya Sudnagunta Prasad | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1033644075 | Jyoti S Datta Md Inc | Internal Medicine | 1045 Atlantic Ave Ste 616, Long Beach, CA 90813-3411 | 2017-04-27 |
| 1568535615 | Jyoti S Datta | Internal Medicine | 1045 Atlantic #616, Long Beach, CA 90813 | 2006-11-16 |
| 1730296385 | Munagala J Reddy | Internal Medicine | 180 East Penn Street, Long Beach, NY 11561-4264 | 2006-08-23 |
| 1841200847 | Memorial Pulmonary & Sleep Consultants A Medical Group, Inc. | Internal Medicine | 701 E 28th St Ste 318, Long Beach, CA 90806-2785 | 2006-08-09 |
| 1588698161 | Stephen E Brown | Internal Medicine | 4300 Long Beach Blvd Ste 405, Long Beach, CA 90807-2008 | 2006-07-10 |
| 1053852376 | Southern California Pulmonologists and Intensivists Network | Internal Medicine | 3605 Long Beach Blvd, 405, Long Beach, CA 90807-4026 | 2017-03-20 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1891012860 | Christopher Yee | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-29 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| 1861719486 | Thomas Jiang | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
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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.