MATTHEW T JOHNSON (NPI# 1659487395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659487395 |
Entity Type | Individual |
Full Name | MATTHEW T JOHNSON |
Credential | MD |
Practice Address |
1261 Travis Blvd Ste 320 Fairfield CA 94533-4897 |
Practice Telephone | 7074232506 |
Practice Fax Number | 7074254236 |
Mailing Telephone | 7074232506 |
Mailing Fax Number | 7074254236 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2015-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | G38149 | CA | Allopathic & Osteopathic Physicians |
N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
G38149 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DEA | AJ1871501 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
Street Address |
1261 TRAVIS BLVD STE 320 |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-4897 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942285879 | Rashid Iqbal | Internal Medicine | 1261 Travis Blvd, Ste 170, Fairfield, CA 94533-4897 | 2005-12-14 |
1205367141 | Nalls Foundation | Community/Behavioral Health | 1261 Travis Blvd, Suite 240, Fairfield, CA 94533-4897 | 2017-03-22 |
1851626394 | Jeffrey Breneisen Md Inc. | Internal Medicine | 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 | 2009-10-15 |
1447585161 | Milind Dhond Md Inc | Internal Medicine | 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 | 2009-10-14 |
1831358027 | David F La Rochelle Md A Medical Corporation | Orthopaedic Surgery | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2008-06-03 |
1538368279 | Margaret Smith La Rochelle | Specialist | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2007-07-13 |
1871705897 | Cardiac and Vascular Specialists of Northern California, Inc. | Internal Medicine | 1261 Travis Blvd, Ste 200, Fairfield, CA 94533-4897 | 2007-05-03 |
1033230693 | Lyubov Lupyan-teytelman | Physician Assistant | 1261 Travis Blvd, Suite 170, Fairfield, CA 94533-4825 | 2007-04-02 |
1558417824 | David Foster La Rochelle | Orthopaedic Surgery | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2007-01-26 |
1003925926 | Albert M Mitchell | Psychiatry & Neurology | 1261 Travis Blvd, Suite 170, Fairfield, CA 94533-4897 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
1508215377 | Robert S Galvin | Internal Medicine | 376 Hillside Rd, Fairfield, CT 06824-2140 | 2016-06-12 |
1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
1588083075 | Clarisse Elaine Cadang | Internal Medicine | 4520 Business Center Dr Ste 200, Fairfield, CA 94534-6888 | 2014-04-10 |
1912262643 | Khushleen Jaggi | Internal Medicine | 3900 Business Center Dr Apt 9303, Fairfield, CA 94534-4238 | 2012-07-09 |
1831462951 | Vincent E Kerr | Internal Medicine | 77 Mailands Rd, Fairfield, CT 06824-3999 | 2012-02-21 |
1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
1992038285 | Absolute Health Medical Spa | Internal Medicine | 4820 Business Center Dr, Suite 110, Fairfield, CA 94534-1696 | 2009-09-17 |
1962653576 | Wallace Bernard Lebowitz | Internal Medicine | 1699 Fairfield Beach Rd, Fairfield, CT 06824-6522 | 2008-10-02 |
Find all providers in FAIRFIELD |
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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.