SAMUEL ELAN JOHNSON (NPI# 1326162991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326162991 |
Entity Type | Individual |
Full Name | SAMUEL ELAN JOHNSON |
Credential | D.O. |
Practice Address |
3 Medical Plaza Dr Suite 140 Roseville CA 95661-3087 |
Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
Practice Telephone | 9168651400 |
Mailing Telephone | 8004700071 |
Enumeration Date | 2007-03-19 |
Last Update Date | 2017-02-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 20A6457 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OSTEOPATHIC MEDICAL LIC. | 20A6457 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780176677 | Samuel Eric Johnson | Dentist | 5128 Old Highway 11 Ste 7, Hattiesburg, MS 39402-6234 | 2018-06-05 |
1245730787 | Samuel Johnson | Behavior Technician | 17688 71st Ln N, Loxahatchee, FL 33470-5501 | 2018-02-20 |
1902357874 | Samuel Alexander Johnson | Counselor | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2016-10-17 |
1184095556 | Samuel Lee Johnson IIi | Counselor | 2100 Woodmere Blvd Ste 135, Harvey, LA 70058-2294 | 2015-10-12 |
1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
1487032751 | Samuel H Johnson | Social Worker | 500 Adams Street, Box 3243, Seward, AK 99664-3243 | 2015-05-07 |
1285034496 | Samuel Johnson II | Specialist/Technologist | 220 Champions Drive, Harrisonburg, VA 22807-2478 | 2014-08-26 |
1528475092 | Samuel Johnson | Specialist/Technologist | 101 Womens Bldg, Oregon State University, Corvallis, OR 97331-8577 | 2014-07-16 |
1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
1205074846 | Samuel Charles-prabhakar Johnson | Physical Therapist | 1026 46th St, Brooklyn, NY 11219-2401 | 2009-02-03 |
Street Address |
3 MEDICAL PLAZA DR SUITE 140 |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-3087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821094475 | Douglas Hight | Podiatrist | 3 Medical Plaza Dr, Suite 110, Roseville, CA 95661-3087 | 2005-06-27 |
1801210539 | Igor Shkuratov | Occupational Therapist | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2014-02-17 |
1649570649 | Karen E Demarco | Occupational Therapy Assistant | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2010-10-25 |
1629399126 | Stephanie A Austin | Otolaryngology | 3 Medical Plaza Dr, #220, Roseville, CA 95661-3087 | 2010-06-18 |
1982920401 | Kim David O. Canlas | Internal Medicine | 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | 2010-04-08 |
1871721654 | Douglas Ocampo Canlas II | Internal Medicine | 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | 2009-06-30 |
1043448533 | Hossein Mirheydar | Urology | 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661-3087 | 2009-06-23 |
1336380286 | Carolina Raveau Alvayay | Urology | 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661-3087 | 2009-03-23 |
1114182920 | Linda J Sheu | Dermatology | 3 Medical Plaza Dr, Suite 230, Roseville, CA 95661-3087 | 2008-07-21 |
1902068232 | Heather D Van Horn | Physical Therapy Assistant | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2008-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
Find all providers in zip 95661 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346537867 | Michael Sean Morrissey | Emergency Medicine | 1298 Antelope Creek Dr, Unit 622, Roseville, CA 95678-3607 | 2011-07-05 |
1518120591 | Kara Lynn Tomlinson | Emergency Medicine | 221 Mccarrons St, Roseville, MN 55113-6922 | 2008-07-09 |
1518007418 | Norman Label | Emergency Medicine | 3300 Douglas Blvd Ste 200, Roseville, CA 95661-3845 | 2007-02-08 |
1043298854 | Alexandra E Straight | Emergency Medicine | 2085 Rice St, Roseville, MN 55113-6807 | 2006-01-03 |
1578560389 | Angela Bell | Emergency Medicine | 1 Medical Plaza Dr, Department of Emergency Medicine, Roseville, CA 95661-3037 | 2005-07-07 |
1164803151 | Zinmar Ma | Emergency Medicine | 700 Sunrise Ave, Roseville, CA 95661-4561 | 2015-06-15 |
1013396118 | John Paul Youssry Kelada | Emergency Medicine | 680 Sunrise Ave, Roseville, CA 95661 | 2015-05-21 |
1215346382 | Terrence Horan | Emergency Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2014-08-04 |
1700204575 | Brett Trullender | Emergency Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2014-03-30 |
1902169071 | Ashley Joel Pilgrim | Emergency Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2012-06-22 |
Find all providers in ROSEVILLE |
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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.