Jennifer D Johnson (NPI# 1073974317, PAC ID# 8921388349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1073974317 |
| PAC ID by PECOS | 8921388349 |
| Professional Enrollment ID | I20161130002463 |
| Full Name | Jennifer D Johnson |
| Organization Legal Name | HEALTH ADVANTAGE PHYSICAL MEDICINE INC |
| Address |
1450 N Lake Ave Pasadena CA 91104-2301 |
| Phone Number | 6267987805 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8022323294 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1450 N Lake Ave, Pasadena, CA 91104-2301 | 6267987805 | HEALTH ADVANTAGE PHYSICAL MEDICINE INC |
| Organization Legal Name | HEALTH ADVANTAGE PHYSICAL MEDICINE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lera Jo C Sauppe | Nurse Practitioner | Health Advantage Physical Medicine Inc | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Eric Chung | Physician Assistant | Health Advantage Physical Medicine Inc | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Ross A Obenauer | Physician Assistant | Health Advantage Physical Medicine Inc | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Street Address |
1450 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip | 91104-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Robert Buckley | Chiropractic | Health Advantage Health and Wellness Center | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Lera Jo C Sauppe | Nurse Practitioner | Health Advantage Physical Medicine Inc | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Eric Chung | Physician Assistant | Health Advantage Physical Medicine Inc | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Miwa Yoshida | Chiropractic | Health Advantage Health and Wellness Center | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Ross A Obenauer | Physician Assistant | Health Advantage Physical Medicine Inc | 1450 N Lake Ave, Pasadena, CA 91104-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marina Banik | Chiropractic | 353 E Penn St, Pasadena, CA 91104-1071 | |
| William D Mcintyre Jr. | Internal Medicine | 2319 E Washington Blvd, Suite 1, Pasadena, CA 91104-1945 | |
| Stephen Douglas Henry | Internal Medicine | 2319 E Washington Blvd, Suite 2, Pasadena, CA 91104-1945 | |
| Esther L Chodakiewitz | Psychiatry | Pacific Clinics | 1460 N Lake Ave, Pasadena, CA 91104-2300 |
| Rizaldy R Ferrer | Clinical Psychologist | 1495 N Lake Ave, Pasadena, CA 91104-2303 | |
| Sabri E Malek | Anesthesiology | 1575 N Lake Ave, Pasadena, CA 91104-2340 | |
| Denise H Padilla | Clinical Social Worker | Wellqor Psychological Services of California, PC | 1575 E Washington Blvd, Pasadena Highlands, Pasadena, CA 91104-2661 |
| Julie Hansen | Clinical Social Worker | Wellqor Psychological Services of California, PC | 1575 E Washington Blvd, Pasadena Highlands, Pasadena, CA 91104-2661 |
| Jane Kim | Optometry | 1741 E Washington Blvd, Pasadena, CA 91104-2752 | |
| Gregory J Cox | Physical Therapy | Arroyo Physical Therapy | 1720 E Washington Blvd, Suite 208, Pasadena, CA 91104-2773 |
| Find all physicians in zip 91104 | |||
| City | PASADENA |
| Zip Code | 91104 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PASADENA + PHYSICAL THERAPY |
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| 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.