MR. RUSSELL LAROY JOHNSON (NPI# 1659782787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659782787 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL LAROY JOHNSON |
| Practice Address |
11629 Sueno Ct. Fontana CA 92337 |
| Practice Telephone | 3238019208 |
| Mailing Telephone | 3238019208 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1790990679 | Russell E Johnson | Chiropractor | 1519 Grundy Ave, Holbrook, NY 11741-2106 | 2007-05-13 |
| 1417172966 | Russell Johnson Jr. | Hearing Instrument Specialist | 1522 Gregg St, Columbia, SC 29201-3530 | 2007-04-17 |
| 1861423790 | Russell Talmage Johnson | Specialist/Technologist | 1190 S 18th Street Ext, Oxford, MS 38655-5378 | 2006-07-06 |
| 1437185378 | Russell K Johnson | Podiatrist | 114 W Castellano Dr, El Paso, TX 79912-6119 | 2006-06-23 |
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1528413549 | Russell D Johnson | Counselor | 2238 E. Ginter Road, Sunnyside Unified School District No. 12, Tucson, AZ 85706 | 2016-04-27 |
| 1710345483 | Russell Johnson | Physician Assistant | 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215-3678 | 2016-02-09 |
| 1881085298 | Russell Ivan Johnson | Dentist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2015-02-08 |
| 1497935423 | Russell K Johnson | Orthotist | 550 Washington St Ste 400, San Diego, CA 92103-2229 | 2007-11-07 |
| Street Address |
11629 SUENO CT. |
| City | FONTANA |
| State | CA |
| Zip Code | 92337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1629587001 | Esther Muteti | Registered Nurse | 11468 Old Spring Rd, Fontana, CA 92337 | 2017-09-28 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| 1356780803 | Cynthia Lee Wright I | Registered Nurse | 17216 Slover Avenue, Building L, Fontana, CA 92337 | 2013-06-18 |
| 1649459652 | Rebecca Ann Carpio-darshay | Nurse Practitioner | 17296 Slover Avenue, Fontana, CA 92337 | 2007-10-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1205914546 | Felecia Green | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337 | 2006-11-02 |
| 1417049933 | Shauna Nichele Lowry | Orthotist | 16200 Coleen St, Suite A, Fontana, CA 92337 | 2006-09-29 |
| 1033212592 | Jugal K Gupta | Dentist | 11623 Cherry Ave, Ste B-2, Fontana, CA 92337 | 2006-09-07 |
| Find all providers in zip 92337 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346869 | Angela Rowe | Contractor | 17005 Pine Ave, Fontana, CA 92335-4719 | 2017-02-27 |
| 1043557986 | Catherine Jenny Taylor | Contractor | 15624 Caravelle Ave, Fontana, CA 92336-4139 | 2013-01-11 |
| 1437449857 | Rachel Sigritz | Contractor | 14995 Mavenwood Pl, Fontana, CA 92336-0791 | 2011-04-19 |
| 1932330438 | Luisa Deluca | Contractor | 10557 Juniper Ave, Fontana, CA 92337-7589 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324012 | Bailey Rose Medical Billing LLC | Contractor | 839 Fan Palm Ln, Brentwood, CA 94513-5680 | 2020-10-21 |
| 1245837566 | Irshad H Fardan | Contractor | 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 | 2020-10-09 |
| 1245838531 | Karen Strickland | Contractor | 3450 Sacramento St # 531, San Francisco, CA 94118-1914 | 2020-10-09 |
| 1831796879 | Laura Barker | Contractor | 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 | 2020-10-02 |
| 1477167054 | Jarib Takezhi Concilco Colin | Contractor | 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 | 2020-09-01 |
| 1609492289 | Neil Sankar | Contractor | 3610 Flora Vista Ave Apt 238, Santa Clara, CA 95051-3508 | 2020-06-19 |
| 1467077404 | Eric Avirett | Contractor | 1944 Bonita Ave, Berkeley, CA 94704-1038 | 2020-06-16 |
| 1699305805 | Sanjiv Ramdeo | Contractor | 710 Santa Susana St, Sunnyvale, CA 94085-3470 | 2020-01-16 |
| 1407498942 | Terry Lee Moffit | Contractor | 1165 W 15th St, San Bernardino, CA 92411-1811 | 2019-10-16 |
| 1538701693 | Ramin P Shirazi IIi | Contractor | 25411 Mina Ct, Lake Forest, CA 92630-5311 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
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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.