DR. SARA WHITACRE JOHNSON (NPI# 1639450638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639450638 |
| Entity Type | Individual |
| Full Name | DR. SARA WHITACRE JOHNSON |
| Credential | MD |
| Practice Address |
514 N Prospect Ave Redondo Beach CA 90277-3036 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3109378555 |
| Practice Fax Number | 3109378556 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 9753A | WY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 9022551-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A117896 | CA | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A117896 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1639450638 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603853 | Sara Elizabeth Johnson | Social Worker | 13902 Savanna Dr, Rogers, MN 55374-4838 | 2020-09-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1265993182 | Sara Ruth Johnson | Nurse Practitioner | 701 Windover Rd Ste 400, Jonesboro, AR 72401-6065 | 2019-03-26 |
| 1124489729 | Sara Johnson | Psychologist | 520 N Walnut St, Dover, OH 44622-2852 | 2016-03-10 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1588090666 | Sara Johnson | Rehabilitation Practitioner | 1627 Bent Arrow Dr, N Las Vegas, NV 89031-1559 | 2013-09-19 |
| 1700184074 | Sara Johnson | Counselor | 415 S Keene Ave, Compton, CA 90220-2643 | 2011-03-10 |
| 1811125016 | Sara Livingston Johnson | Obstetrics & Gynecology | 3451 East 12th St, Transit Village Women's 2nd Floor, Oakland, CA 94601-3425 | 2009-06-25 |
| 1679752513 | Sara Rosenfeld Johnson | Speech-Language Pathologist | 3420 N Dodge Blvd, Tucson, AZ 85716-1464 | 2007-10-28 |
| 1649490640 | Sara B Johnson | Speech-Language Pathologist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2007-05-01 |
| Street Address |
514 N PROSPECT AVE |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106026 | Chester Walter Gottlieb | Internal Medicine | 514 N Prospect Ave, 4th Floor, Redondo Beach, CA 90277-3040 | 2005-10-04 |
| 1568071157 | Dianne Staso | Dietitian, Registered | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2020-07-29 |
| 1821599564 | Usrc Redondo LLC | Clinic/Center | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2018-02-27 |
| 1487033437 | Arjun Gowda | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2015-05-22 |
| 1447679865 | Teo Soleymani | Dermatology | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2014-04-14 |
| 1497048060 | Swati Sikaria | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2011-05-16 |
| 1154622454 | Beverly Chen | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2010-11-03 |
| 1235447392 | Beach Cities Pain Management Group | Anesthesiology | 514 N Prospect Ave, Ste 100, Redondo Beach, CA 90277-3036 | 2010-09-22 |
| 1770802746 | Ronald Tsao | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2010-05-28 |
| 1588982904 | Jennifer Logan | Family Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508163122 | Art of Aesthetics | Preventive Medicine | 700 N PCh Hwy, 300, Redondo Beach, CA 90277-2167 | 2011-02-16 |
| 1881608909 | Allen Hermann Peters | Preventive Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2006 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592126 | Best Healthcare Access | Preventive Medicine | 3218 E Holt Ave Ste 201a, West Covina, CA 91791-2310 | 2020-09-11 |
| 1134739642 | Wellcentrex LLC | Preventive Medicine | 4590 Macarthur Blvd Ste 500, Newport Beach, CA 92660-2028 | 2020-08-10 |
| 1548870926 | Sofia Lucha Robles Castillo | Preventive Medicine | 9616 Micron Ave Ste 670, Sacramento, CA 95827-2699 | 2020-07-31 |
| 1972124485 | Douglas L Hatch | Preventive Medicine | 680 Talbot Ave, Pacifica, CA 94044-2650 | 2020-05-06 |
| 1154959138 | Jaime Renee Reise | Preventive Medicine | 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 | 2020-03-27 |
| 1861024515 | Another Way 2 LLC | Preventive Medicine | 3840 Lemon St, Riverside, CA 92501-3693 | 2020-02-11 |
| 1275186793 | Thinknetic Medical Corporation | Preventive Medicine | 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 | 2019-07-23 |
| 1396306650 | Ankush Raj Gaur | Preventive Medicine | 21303 Oakriver Ln, Newhall, CA 91321-4679 | 2019-06-26 |
| 1982167565 | Kristina Deguzman | Preventive Medicine | 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 | 2019-04-10 |
| 1760940902 | Taby Corp. | Preventive Medicine | 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on DR. SARA WHITACRE 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.