DERRICK BERNARD JOHNSON (NPI# 1609093277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609093277 |
| Entity Type | Individual |
| Full Name | DERRICK BERNARD JOHNSON |
| Credential | PA |
| Practice Address |
2925 Palo Verde Ave Long Beach CA 90815-1552 |
| Practice Telephone | 5624292473 |
| Mailing Telephone | 5624292473 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA15689 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285099473 | Derrick Johnson | Behavioral Analyst | 5725 Palma Ln, Greenwood, FL 32443-2421 | 2015-12-15 |
| 1750608634 | Derrick Johnson | Marriage & Family Therapist | 1606 Ambassador Dr, Reno, NV 89523-1215 | 2010-04-30 |
| 1942473186 | Derrick Jerod Johnson | Audiologist | 7601 Matapeake Business Drive, Brandywine, MD 20613 | 2008-04-09 |
| 1497896674 | Derrick James Johnson | Counselor | 1022 Madison, Oak Park, IL 60302 | 2007-02-09 |
| 1407963762 | Derrick V Johnson | Dentist | 114 Dyer Street, Mountain Home, AR 72653 | 2006-08-24 |
| 1841723301 | Derrick Johnson | Behavior Technician | 4606 Lee St, Alexandria, LA 71302-3235 | 2017-04-11 |
| 1891983623 | Derrick E. Johnson | Internal Medicine | 7277 Smiths Mill Rd, #250, New Albany, OH 43054-8195 | 2007-10-05 |
| 1588859599 | Derrick J. Johnson | Physical Therapist | 717 W 3rd St, Elk City, OK 73644-5207 | 2007-09-12 |
| 1588784565 | Derrick M Johnson | Physician Assistant | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2007-03-31 |
| Street Address |
2925 PALO VERDE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805898 | Shanti Nilakantan | Internal Medicine | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2005-07-21 |
| 1972066843 | Sheila Taj Soltani | Optometrist | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2019-04-09 |
| 1679947600 | Nadia Salman | Pharmacist | 2925 Palo Verde Ave, Long Beach, CA 90815 | 2015-11-13 |
| 1962875625 | Peter Chiu | Pharmacist | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2015-11-03 |
| 1891168753 | Henry Maillefer | Pharmacist | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2015-11-01 |
| 1407140429 | Lori Walker | Dietitian, Registered | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2011-06-07 |
| 1295056596 | Lianying Gao | Family Medicine | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2010-06-21 |
| 1023332731 | Elisa Marie Hirsch | Registered Nurse | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2010-03-24 |
| 1215100862 | Maria R Uceda | Dietitian, Registered | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2008-04-03 |
| 1225206881 | Haeryong Oh | Psychiatry & Neurology | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703958 | Melanie Layne Mccoy | Physician Assistant | 202 Joyce Ave, Long Beach, MS 39560-4332 | 2020-09-04 |
| 1285244525 | Amir Kamal Abdou | Physician Assistant | 133 The Promenade N Unit 112, Long Beach, CA 90802-4728 | 2020-08-02 |
| 1316564156 | Eva Dolores Larson | Physician Assistant | 2230 Knoxville Ave, Long Beach, CA 90815-2340 | 2020-06-27 |
| 1609402148 | Justine Liao Huang | Physician Assistant | 2725 Pacific Ave, Long Beach, CA 90806-2612 | 2020-03-17 |
| 1962036525 | Gabriel Ernest Smith | Physician Assistant | 4541 Falcon Ave, Long Beach, CA 90807-1814 | 2020-02-22 |
| 1124660295 | Ngawina Veronica Komen | Physician Assistant | 1139 E Ocean Blvd Unit 109, Long Beach, CA 90802-5659 | 2019-10-10 |
| 1326691718 | Chelsea Caughran | Physician Assistant | 472 W Hill St, Long Beach, CA 90806-4548 | 2019-07-24 |
| 1255809216 | Mikaela Terez Zummo | Physician Assistant | 563 E Harrison St, Long Beach, NY 11561-2444 | 2018-11-07 |
| 1407338064 | Monali Patel | Physician Assistant | 237 W Ridgewood, Long Beach, CA 90805-6964 | 2018-08-30 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on DERRICK BERNARD JOHNSON.
| 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.