SAMUEL ELAN JOHNSON


Address: 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087
Phone: 9168651400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 20A6457 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OSTEOPATHIC MEDICAL LIC. 20A6457 01

Other Providers SAMUEL JOHNSON

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

Office Location

Street Address 3 MEDICAL PLAZA DR
SUITE 140
City ROSEVILLE
State CA
Zip Code 95661-3087

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ROSEVILLE
Zip Code 95661

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Dataset Information

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.

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