Organization
NEIL G. JOHNSON, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL G JOHNSON M.D. (PRESIDENT)
(909) 881-6427
Entity
Organization
Contact information
Practice address
18300 US HIGHWAY 18, C/O ST. MARY MEDICAL CENTER, APPLE VALLEY, CA 92307-2206
(909) 881-6427
(909) 887-8708
Mailing address
PO BOX 9160, SAN BERNARDINO, CA 92427-0160
(909) 881-6427
(909) 887-8708
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G20232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079600
—
CA
01
—
ZZZ13874Z
NHIC/NCA
CA
01
—
ZZZ54436Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
05/24/2007
Last updated
03/05/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up