DESMOND R JOHNSON (NPI# 1629260914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629260914 |
Entity Type | Individual |
Full Name | DESMOND R JOHNSON |
Practice Address |
1441 Florida Ave Modesto CA 95350-4405 |
Mailing Address |
3400 Coffee Rd Apt 262 Modesto CA 95355 |
Practice Telephone | 2095781211 |
Mailing Telephone | 3168067508 |
Mailing Fax Number | 2093423237 |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104960616 | Desmond Fritzroy Johnson | Internal Medicine | 3806 Baskerville Dr, Mitchellville, MD 20721-2406 | 2007-02-16 |
1366875502 | Desmond L. Johnson | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2013-08-12 |
Street Address |
1441 FLORIDA AVE |
City | MODESTO |
State | CA |
Zip Code | 95350-4405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326044876 | Suhail Rahhal | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2005-06-21 |
1629603667 | Avinesh Prakash | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
1437784469 | Jose L Bazan | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
1770117541 | Sydney Edwards | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4418 | 2020-03-02 |
1003466756 | Jessica Izelle Whipkey | Pharmacy Technician | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-09-16 |
1538715040 | Antoinette Marie Nguyen | Registered Nurse | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-08-12 |
1588229637 | Janel Mark | Perfusionist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-05-03 |
1437713799 | Kunal Panwar | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-23 |
1275196099 | Billy Huynh | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-17 |
1063075067 | Herbert Mao | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 246ZS0410X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Technologist |
Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154688414 | Brandy R Chapin | Specialist/Technologist, Other | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2012-04-11 |
1508095613 | Julie Kay Wampler | Specialist/Technologist, Other | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2009-07-09 |
1568613032 | Michelle Moulyn | Specialist/Technologist, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2008-10-02 |
1124279690 | Debra Uhl | Specialist/Technologist, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2008-10-02 |
1033366836 | Jose Deleon | Specialist/Technologist, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2008-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841787447 | Eddie A Mendoza | Specialist/Technologist, Other | 1900 E Tahquitz Canyon Way Ste A1, Palm Springs, CA 92262-7060 | 2018-04-18 |
1932568391 | Nicholas A. Tenney | Specialist/Technologist, Other | 6509 Brynhurst Ave, Apt 3, Los Angeles, CA 90043-4328 | 2016-02-15 |
1932598612 | Ofelia Loani Elvir Lazo | Specialist/Technologist, Other | 467 Arnaz Dr Apt 317, Los Angeles, CA 90048-6708 | 2015-01-17 |
1548664857 | Evelyn Mejia | Specialist/Technologist, Other | 1229 W Fairgrove Ave, West Covina, CA 91790-4611 | 2014-10-15 |
1871994129 | Rachel Gates | Specialist/Technologist, Other | 1000 Escalon Ave Apt Q2134, Sunnyvale, CA 94085-4135 | 2014-09-05 |
1194064360 | Neuro Dynamics | Specialist/Technologist, Other | 16837 Los Alimos St, Granada Hills, CA 91344-5054 | 2013-02-07 |
1538413869 | Gabriel G Sanchez | Specialist/Technologist, Other | 8185 E Ave, Hesperia, CA 92345-1509 | 2012-11-08 |
1184984411 | Thomas M Dixon | Specialist/Technologist, Other | 1908 Blenheim St, Riverside, CA 92507-2008 | 2012-05-21 |
1013213255 | Lemuel Lopez Novencido | Specialist/Technologist, Other | 106 Monroe St, Oceanside, CA 92057-4418 | 2011-02-07 |
1427295674 | Steven Jay Lombardo | Specialist/Technologist, Other | 351 Sante Fe Drive, St.100, Encinitas, CA 92024-5137 | 2009-01-09 |
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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.