MATTHEW T JOHNSON


Address: 1261 Travis Blvd, Ste 320, Fairfield, CA 94533-4897
Phone: 7074232506

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA AJ1871501 01

Other Providers MATTHEW JOHNSON

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

Office Location

Street Address 1261 TRAVIS BLVD
STE 320
City FAIRFIELD
State CA
Zip Code 94533-4897

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FAIRFIELD
Zip Code 94533

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Dataset Information

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.

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