STEPHEN R. JOHNSON (NPI# 1811064637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811064637 |
| Entity Type | Individual |
| Full Name | STEPHEN R. JOHNSON |
| Credential | MD |
| Practice Address |
4733 W Sunset Blvd Los Angeles CA 90027-6021 |
| Practice Telephone | 3237834011 |
| Mailing Telephone | 3237834011 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
G40089 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1306364609 | Stephen Johnson | Behavior Technician | 9143 Plaza Park Dr, Elk Grove, CA 95624-2638 | 2017-09-07 |
| 1629514260 | Stephen Michael Johnson | Chiropractor | 851 Orchard Rd, Red Bank, NJ 07701-5317 | 2017-01-06 |
| 1003178682 | Stephen A Johnson | Neurological Surgery | 10 Plum St Dept Of, New Brunswick, NJ 08901-2065 | 2012-06-11 |
| 1528365459 | Stephen Siewers Johnson | Social Worker | 1480 Oakbridge Ct., Powhatan, VA 23139 | 2011-02-11 |
| 1720231129 | Stephen W. Johnson | Dentist | 9295 E. Thunderbird Rd, Suite 104, Scottsdale, AZ 85260 | 2008-10-29 |
| 1407079098 | Stephen Andrew Johnson | Speech-Language Pathologist | 12650 Grey Eagle Ct, Apt. 14, Germantown, MD 20874-5318 | 2007-04-11 |
| 1245356005 | Stephen Allen Johnson | Counselor | 1550 E Battlefield St Ste A, Springfield, MO 65804-3700 | 2007-03-22 |
| 1417088535 | Stephen D Johnson | Chiropractor | 679 E Harbor St, Suite 140, Warrenton, OR 97146-9717 | 2007-03-08 |
| Street Address |
4733 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578655908 | Sangeeta K. Aggarwal | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-09-30 |
| 1629604384 | Patricia Katherina San Pedro Tamayo | Clinical Nurse Specialist | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2020-03-13 |
| 1326544313 | Justin Dong | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2018-03-30 |
| 1700380110 | Malerie Pratt | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2018-03-20 |
| 1528594405 | Jennifer Sakioka | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-11 |
| 1649707456 | Erica Simone Gabriel Tukiainen | Family Medicine | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-11 |
| 1578099669 | Benjamin Bijan Pezeshki | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-10 |
| 1518492966 | Reshma Ramachandran | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-24 |
| 1467986919 | Russell Robinson Flato | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-11 |
| 1891228516 | Borna Mohabbatizadeh | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417368804 | Sara Aghamohammadi | Pediatrics | 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027-6062 | 2014-05-19 |
| 1558505719 | Ryan Richard Taylor | Pediatrics | Mattel Childrens Hospital At Ucla, 10833 Le Conte Ave., 12-494, Mdcc, Los Angeles, CA 90095-0001 | 2009-04-30 |
| 1497996649 | Andreas Schwingshackl | Pediatrics | Rrmc 400 Westwood Blvd, Los Angeles, CA 90095-2113 | 2009-03-18 |
| 1831355320 | Niveditha Vilasagar | Pediatrics | 4867 W Sunset Blvd Fl 5, Los Angeles, CA 90027-5969 | 2008-08-04 |
| 1154415644 | Edgardo Arcinue | Pediatrics | 4650 W Sunset Blvd # 12, Los Angeles, CA 90027-6062 | 2006-10-02 |
| 1831177591 | Edward G Seferian | Pediatrics | 8700 Beverly Blvd Rm 2211, Los Angeles, CA 90048-1804 | 2006-01-04 |
| 1114553419 | Irene Orozco | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-03-18 |
| 1932526886 | Mona Shah Guglielmo | Pediatrics | 757 Westwood Plz, Los Angeles, CA 90095-7419 | 2014-03-27 |
| 1477979821 | Fernando Beltramo | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-03-10 |
| 1164789012 | Wendy G Hasson | Pediatrics | 4650 Sunset Blvd Ms #3, Chla, Accm, Los Angeles, CA 90027 | 2012-04-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.