RUSSELL K JOHNSON (NPI# 1497935423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497935423 |
| Entity Type | Individual |
| Full Name | RUSSELL K JOHNSON |
| Credential | CO |
| Practice Address |
550 Washington St Ste 400 San Diego CA 92103-2229 |
| Practice Telephone | 6192918122 |
| Mailing Telephone | 6192918122 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1790990679 | Russell E Johnson | Chiropractor | 1519 Grundy Ave, Holbrook, NY 11741-2106 | 2007-05-13 |
| 1417172966 | Russell Johnson Jr. | Hearing Instrument Specialist | 1522 Gregg St, Columbia, SC 29201-3530 | 2007-04-17 |
| 1861423790 | Russell Talmage Johnson | Specialist/Technologist | 1190 S 18th Street Ext, Oxford, MS 38655-5378 | 2006-07-06 |
| 1437185378 | Russell K Johnson | Podiatrist | 114 W Castellano Dr, El Paso, TX 79912-6119 | 2006-06-23 |
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1528413549 | Russell D Johnson | Counselor | 2238 E. Ginter Road, Sunnyside Unified School District No. 12, Tucson, AZ 85706 | 2016-04-27 |
| 1710345483 | Russell Johnson | Physician Assistant | 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215-3678 | 2016-02-09 |
| 1881085298 | Russell Ivan Johnson | Dentist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2015-02-08 |
| Street Address |
550 WASHINGTON ST STE 400 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487665212 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 550 Washington St Ste 400, San Diego, CA 92103-2229 | 2006-08-10 |
| 1598308959 | Ricardo Daniel Garcia | Orthotic Fitter | 550 Washington St Ste 400, San Diego, CA 92103-2229 | 2019-10-17 |
| 1992994750 | Mary Dentice | Orthotist | 550 Washington St Ste 400, San Diego, CA 92103-2229 | 2007-10-17 |
| 1366638116 | Jonathan Skerritt | Orthotist | 550 Washington St Ste 400, San Diego, CA 92103-2229 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
| 1225502271 | Cindy Jean Mowatt | Orthotist | 8010 Frost St Ste 500, San Diego, CA 92123-4239 | 2019-01-13 |
| 1285821330 | Adrian B Ravitz | Orthotist | 12540 Oaks North Dr, Suite B3, San Diego, CA 92128-1608 | 2007-10-02 |
| 1861960841 | Joseph Crase | Orthotist | 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 | 2018-11-07 |
| 1992281489 | Madonna Ibrahim | Orthotist | 7910 Frost St Ste 320, San Diego, CA 92123 | 2018-07-17 |
| 1568916278 | Danielle Baril | Orthotist | 7720 Cardinal Ct, San Diego, CA 92123-3333 | 2016-08-10 |
| 1831643519 | Zachary Sorenson | Orthotist | 7720 Cardinal Ct, San Diego, CA 92123-3333 | 2016-08-10 |
| 1508202037 | Robert Joseph Hanly | Orthotist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2013-05-10 |
| 1467724195 | Sarah Riddar | Orthotist | 7930 Frost St Ste 304, San Diego, CA 92123-2740 | 2012-01-26 |
| 1588964464 | Juan Antonio Mendoza | Orthotist | 6190 Fairmount Ave, Suite A, San Diego, CA 92120-3428 | 2010-10-26 |
| Find all providers in SAN DIEGO | ||||
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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.