ROBERT R JOHNSON MEDICAL CORP (NPI# 1811180318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811180318 |
| Entity Type | Organization |
| Organization Name | ROBERT R JOHNSON MEDICAL CORP |
| Other Organization Name | JOHNSON & JOHNSON PSYCHIATRIC CARE |
| Practice Address |
3151 Airway Ave Suite T2 Costa Mesa CA 92626 |
| Practice Telephone | 7145562112 |
| Practice Fax Number | 7145560120 |
| Mailing Telephone | 7145562112 |
| Mailing Fax Number | 7145560120 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | DR. ROBERT R JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 7145562112 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Johnson & Johnson Psychiatric Care | Doing Business As Name - Organization |
| Street Address |
3151 AIRWAY AVE SUITE T2 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609836469 | Eric A Prouty | Dentist | 3151 Airway Ave, Suite M2, Costa Mesa, CA 92626-4607 | 2006-03-24 |
| 1609342567 | Chris Maa | Acupuncturist | 3151 Airway Ave, Costa Mesa, CA 92626-4607 | 2018-10-18 |
| 1518319946 | Alisa Gardner | Social Worker | 3151 Airway Ave, T2, Costa Mesa, CA 92626-4607 | 2016-07-09 |
| 1821449141 | Nicole Krakora | Naturopath | 3151 Airway Ave, Suite U-3, Costa Mesa, CA 92626-4607 | 2016-06-28 |
| 1841646809 | Charles Fagenholz | Chiropractor | 3151 Airway Ave, U-3, Costa Mesa, CA 92626-4607 | 2016-05-09 |
| 1275997058 | Scbh Laboratory, LLC | Clinical Medical Laboratory | 3151 Airway Ave, Suite N-1, Costa Mesa, CA 92626-4607 | 2016-04-07 |
| 1215392816 | Hpr Laboratories | Clinical Medical Laboratory | 3151 Airway Ave, Unit G1, Costa Mesa, CA 92626-4607 | 2015-12-23 |
| 1134592249 | Robin Giesen | Marriage & Family Therapist | 3151 Airway Ave, Ste. T-3, Costa Mesa, CA 92626-4607 | 2015-11-11 |
| 1194194860 | Samuel T. Enterprise | Counselor | 3151 Airway Ave, Suite D2, Costa Mesa, CA 92626-4607 | 2015-09-23 |
| 1740664614 | Clint Johnson | Counselor | 3151 Airway Ave, D-1, Costa Mesa, CA 92626-4607 | 2015-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1518429612 | Hotel California By The Sea, LLC | Clinic/Center | 230 E 17th St Ste 201, Costa Mesa, CA 92627-3891 | 2019-04-05 |
| 1427411727 | Akua Behavioral Health, Inc | Clinic/Center | 373 Ralcam Pl, Costa Mesa, CA 92627-1909 | 2016-04-04 |
| 1619330909 | Akua Behavioral Health, Inc | Clinic/Center | 324 University Dr, Costa Mesa, CA 92627-1440 | 2016-04-04 |
| 1730226499 | County of Orange | Clinic/Center | 2801 Bristol St., 2nd Floor, Costa Mesa, CA 92626-5996 | 2007-01-31 |
| 1598370710 | Mira Coast Behavioral | Clinic/Center | 3140 Red Hill Ave, Costa Mesa, CA 92626-3400 | 2020-09-14 |
| 1275150419 | Golden Coast Psychology Center | Clinic/Center | 3151 Airway Ave Ste A2, Costa Mesa, CA 92626-4620 | 2020-07-04 |
| 1205488533 | Arena Therapy Services, LLC | Clinic/Center | 2488 Newport Blvd, Costa Mesa, CA 92627-5196 | 2019-07-16 |
| 1063964476 | Carol J Timmons | Clinic/Center | 2900 Bristol St, Bldg. J-206, Costa Mesa, CA 92626-5981 | 2016-11-02 |
| 1053704569 | Hired Power Transitional Living Center | Clinic/Center | 3151 Airway Ave Ste F107, Costa Mesa, CA 92626-4623 | 2015-03-08 |
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| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
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| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.