JAN MARIE JOHNSTON


Address: 1809 National Ave, San Diego, CA 92113-2113
Phone: 6195152300

JAN MARIE JOHNSTON (NPI# 1477689404) 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) 1477689404
Entity Type Individual
Full Name JAN MARIE JOHNSTON
Credential MD
Practice Address 1809 National Ave
San Diego
CA 92113-2113
Mailing Address 823 Gateway Center Way
San Diego
CA 92102-4541
Practice Telephone 6195152300
Practice Fax Number 6199064564
Mailing Telephone 6195152300
Mailing Fax Number 6199064564
Enumeration Date 2007-02-26
Last Update Date 2016-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine G61754 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000512881 01
KY 7100036490 05

Other Providers JAN JOHNSTON

NPI Name Taxonomy Address Enumeration
1275629826 Jan G Johnston Physical Therapist 1380 E Medical Center Drive, St George, UT 84770 2006-10-04

Office Location

Street Address 1809 NATIONAL AVE
City SAN DIEGO
State CA
Zip Code 92113-2113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184697559 Said Raqib Sana Emergency Medicine 1809 National Ave, San Diego, CA 92113-2113 2006-02-08
1679191423 Pamela Santana Castillo Nutritionist 1809 National Ave, San Diego, CA 92113-2113 2020-07-08
1750909792 Melissa Favela-ayala Nutritionist 1809 National Ave, San Diego, CA 92113-2113 2020-07-07
1306474812 Lorena Amparo Oropeza Oregel Nutritionist 1809 National Ave, San Diego, CA 92113-2113 2020-03-30
1568097707 Margaux Bianca Mariano Occupational Therapist 1809 National Ave, San Diego, CA 92113-2113 2020-03-09
1528698057 Anya Katzina Mancillas Speech-Language Pathologist 1809 National Ave, San Diego, CA 92113-2113 2020-01-23
1316584931 Vanessa Nungaray Ruvalcaba Nutritionist 1809 National Ave, San Diego, CA 92113-2113 2019-12-02
1760028666 Zakirah Hasan Dietitian, Registered 1809 National Ave, San Diego, CA 92113-2113 2019-11-26
1699311241 Carla Sahian Rangel Nutritionist 1809 National Ave, San Diego, CA 92113-2113 2019-11-19
1497398077 Georgina Parra Dietitian, Registered 1809 National Ave, San Diego, CA 92113-2113 2019-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609305986 Cynthia Alba Nutritionist 1809 National Ave., San Diego, CA 92113 2017-06-08
1184153983 Jessy Milligan Counselor 4125 Alpha Street, San Diego, CA 92113 2017-06-06
1730557406 Deborah Mary Malloy Counselor Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 2015-09-10
1104220912 Imhotep Mustaqeem Counselor 3336 Steel Street, San Diego, CA 92113 2014-10-22
1831507300 Olga Vasileva Student in an Organized Health Care Education/Training Program 2865 Logan Avenue, San Diego, CA 92113 2014-07-29
1477961951 Angelica Quezada Counselor 32510 Newton Avenue B103, San Diego, CA 92113 2014-07-28
1477986750 Anita Pena Licensed Vocational Nurse 604 Olivewood Ter, San Diego, CA 92113 2013-08-09
1134459399 Susana Cabada Technician, Other 4031 Marine View Ave., San Diego, CA 92113 2010-01-11
1669595609 Maria Emilia Siller Registered Nurse 3177a Oceanview Blvd, San Diego, AL 92113 2007-04-06
1710009691 Maria Engracia Siordia Licensed Vocational Nurse 3177a Ocean View Blvd, San Diego, CA 92113 2007-04-04
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184233645 Svr Medical PC Internal Medicine 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 2020-07-30
1023639176 Arthur Wong Internal Medicine 4222 Kansas St Unit 2, San Diego, CA 92104-1802 2020-04-29
1679102461 Santosh Vetticaden Internal Medicine 6420 Mesa Norte Dr, San Diego, CA 92130-6852 2020-04-03
1225664964 Andres Smith M.d. A Professional Medical Corporation Internal Medicine 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 2020-03-13
1154972388 Kimberly Hall Fernandez Internal Medicine 700 W E St Unit 2101, San Diego, CA 92101-5993 2019-09-29
1992289300 Sd Healthcare Solutions Internal Medicine 5943 Thorn St, San Diego, CA 92105-3916 2018-09-21
1992295331 Alera Inc Internal Medicine 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 2018-05-11
1275020844 Lf Capital Inc Internal Medicine 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 2018-04-18
1710401302 Ca Post Acute Specialists PC Internal Medicine 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 2017-07-26
1063933604 John Jackson Howard Internal Medicine 4616 Patricia Pl, San Diego, CA 92115-1934 2017-07-05
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Competitor

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City SAN DIEGO
Zip Code 92113

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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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