Jacqueline Johnson (NPI# 1356617021, PAC ID# 4880817394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356617021 |
| PAC ID by PECOS | 4880817394 |
| Professional Enrollment ID | I20140529002402 |
| Full Name | Jacqueline Johnson |
| Organization Legal Name | PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC. |
| Address |
707 S Garfield Ave Suite 201 Alhambra CA 91801-5861 |
| Phone Number | 6266561260 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6204812670 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050132 | SAN GABRIEL VALLEY MEDICAL CENTER |
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| 050737 | GARFIELD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 | 6266561260 | PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC. |
| Organization Legal Name | PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony P Yang | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Jonathan Chang | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Sihuor Peak | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| Alan Hsieh Lee | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Benjamin Sham | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| David W.p. Huang | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Benjamin Tam | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Vu Hoan Le | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Shane S Pak | Orthopedic Surgery | Pacific Orthopaedic Medical Group, Inc. | 289 W Huntington Dr, Suite 206, Arcadia, CA 91007-3439 |
| Johnny Lim | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| Street Address |
707 S GARFIELD AVE SUITE 201 |
| City | ALHAMBRA |
| State | CA |
| Zip | 91801-5861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard P Chao | Diagnostic Radiology | Pacific Medical Imaging and Oncology Center, Inc | 707 S Garfield Ave, Suite B001, Alhambra, CA 91801-5864 |
| Sihuor Peak | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| Benjamin Sham | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| Paul H Chiu | Pain Management | 707 S Garfield Ave, Suite 304, Alhambra, CA 91801-5861 | |
| Johnny Lim | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| Margaret Siu Foon Loh | Diagnostic Radiology | Pacific Medical Imaging and Oncology Center, Inc | 707 S Garfield Ave, Suite B001, Alhambra, CA 91801-5864 |
| Jessie Oh | Physician Assistant | Pacific Orthopaedic Medical Group, Inc. | 707 S Garfield Ave, Suite 201, Alhambra, CA 91801-5861 |
| Ana M Grace | Radiation Oncology | Albert C Mak Md Inc | 707 S Garfield Ave, B002, Alhambra, CA 91801-5866 |
| Albert C Mak | Radiation Oncology | Albert C Mak Md Inc | 707 S Garfield Ave, B002, Alhambra, CA 91801-5866 |
| Peter Ly | Anesthesiology | 707 S Garfield Ave, Suite 101, Alhambra, CA 91801-5860 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie K Lam | Internal Medicine | 333 S Garfield Ave A, Alhambra, CA 91801-0000 | |
| Kendric R Kajikawa | Optometry | 100 E Huntington Dr, Suite 102, Alhambra, CA 91801-1022 | |
| George C Win | Chiropractic | United Integrated Medical Corporation | 84 S Palm Ave, Alhambra, CA 91801-3101 |
| Karim A Soliman | General Practice | United Integrated Medical Corporation | 84 S Palm Ave, Alhambra, CA 91801-3101 |
| David Hsieh | Chiropractic | United Integrated Medical Corporation | 84 S Palm Ave, Alhambra, CA 91801-3101 |
| Yanhong L Zhou | Anesthesiology | 100 S Raymond Ave, Alhambra, CA 91801-3166 | |
| Leslie Lee | Internal Medicine | 150 S Raymond Ave, Alhambra, CA 91801-3166 | |
| Tammy Yu | Nurse Practitioner | Shen Medical Group | 100 S Raymond Ave, Alhambra, CA 91801-3166 |
| William Kopelman | General Practice | Shen Medical Group | 100 S Raymond Ave, Alhambra, CA 91801-3166 |
| Janet Nguyen | Nurse Practitioner | Shen Medical Group | 100 S Raymond Ave, Alhambra, CA 91801-3166 |
| Find all physicians in zip 91801 | |||
| City | ALHAMBRA |
| Zip Code | 91801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALHAMBRA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacqueline Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.