CLARENCE M JOHNSON (NPI# 1649370768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649370768 |
| Entity Type | Individual |
| Full Name | CLARENCE M JOHNSON |
| Credential | M.D. |
| Practice Address |
12555 Garden Grove Blvd Suite 206 Garden Grove CA 92843-1902 |
| Practice Telephone | 7145376595 |
| Practice Fax Number | 7145372176 |
| Mailing Telephone | 7145376595 |
| Mailing Fax Number | 7145372176 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710152178 | Clarence Johnson | Speech-Language Pathologist | 1129 Morgan St., Cleveland, MS 38732 | 2008-04-28 |
| 1023103728 | Clarence Johnson | Physical Therapist | 6560 Fannin St Ste 450, Houston, TX 77030-2735 | 2006-10-04 |
| 1740755594 | Clarence Mcneil Johnson Jr. | Nurse Practitioner | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-10-09 |
| 1942317474 | Clarence Johnson | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2598 | 2006-08-23 |
| 1013937713 | Clarence Michael Johnson | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2006-07-19 |
| 1942278619 | Clarence Birnie Johnson | Internal Medicine | 1161 Cook Rd, Orangeburg, SC 29118-8204 | 2006-03-09 |
| Street Address |
12555 GARDEN GROVE BLVD SUITE 206 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682401 | Julie Hwynn | Internal Medicine | 12555 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1902 | 2005-07-07 |
| 1649713777 | Socal Pharmacy Inc. | Pharmacy | 12555 Garden Grove Blvd, Suite 102, Garden Grove, CA 92843-1902 | 2016-11-21 |
| 1518332980 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 12555 Garden Grove Blvd, Ste 100, Garden Grove, CA 92843-1902 | 2015-12-10 |
| 1841564143 | Hong-an Jan Md Inc | Clinic/Center | 12555 Garden Grove Blvd, #202, Garden Grove, CA 92843-1902 | 2012-03-05 |
| 1912203860 | Melissa K King Md Inc | Internal Medicine | 12555 Garden Grove Blvd, Suite 405, Garden Grove, CA 92843-1902 | 2011-02-09 |
| 1073819710 | Puneet K Chahal, M.d. Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1346546082 | Tuan V Ta Md Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1821306838 | T.r.rhee,m.d.inc | Specialist | 12555 Garden Grove Blvd, Suite 408, Garden Grove, CA 92843-1902 | 2010-09-24 |
| 1053579136 | Andrew H Ahn Md Professional Corporation | Surgery | 12555 Garden Grove Blvd, Suite 403, Garden Grove, CA 92843-1903 | 2008-05-27 |
| 1821256090 | Advanced Center for Urology Inc | Urology | 12555 Garden Grove Blvd, Ste. 405, Garden Grove, CA 92843-1902 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255562641 | Ban Duc Doan Md Inc A Professional Corporation | Specialist | 9191 Westminster Ave Ste 206, Garden Grove, CA 92844-2751 | 2009-08-03 |
| 1285820191 | Kimchuyen Thi Nguyen | Specialist | 12900 Garden Grove Blvd, Suite 214a, Garden Grove, CA 92843-2006 | 2007-09-25 |
| 1932242526 | Chi Linh Vuong | Specialist | 13143 Century Blvd., Garden Grove, CA 92843 | 2007-02-14 |
| 1235207614 | Tae Ryang Rhee | Specialist | 12555 Garden Grove Blvd Ste 408, Garden Grove, CA 92843-1904 | 2006-12-01 |
| 1134298664 | Performance Physical Therapy | Specialist | 11022 Acacia Pkwy Ste B, Garden Grove, CA 92840-5108 | 2006-11-07 |
| 1235248014 | James Geurts | Specialist | 11022 Acacia Pkwy, Suite B, Garden Grove, CA 92840-5108 | 2006-08-29 |
| 1982612081 | Lan Khac Nguyen | Specialist | 13071 Brookhurst St Ste 160, Garden Grove, CA 92843-1024 | 2006-08-04 |
| 1699700112 | Kydao,md,inc | Specialist | 13918 Brookhurst St, Suite B, Garden Grove, CA 92843-4332 | 2006-07-12 |
| 1386678894 | Garden Grove Dermatology Center | Specialist | 12665 Garden Grove Blvd #701, Garden Grove, CO 92843 | 2006-07-10 |
| 1487695847 | Healthpointe Medical Group, Inc. | Specialist | 7052 Orangewood Ave, 6, Garden Grove, CA 92841-1419 | 2006-06-09 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on CLARENCE M 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.