Derrick Bernard Johnson in Long Beach - Physician Assistant
Derrick Bernard Johnson - NPI 1609093277
Derrick Bernard Johnson is a Physician Assistant in Long Beach, California. Derrick Bernard Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derrick Bernard Johnson is 1609093277. The last update date is 2012-11-09.
Derrick Bernard Johnson's current location address is 2925 Palo Verde Ave, Long Beach, California. You can contact this provider via phone number 5624292473. The mailing address for Derrick Bernard Johnson is 2925 Palo Verde Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Bernard Johnson |
|---|---|
| Address | 2925 Palo Verde Ave, Long Beach, California |
| Phone Number | 5624292473 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1609093277 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2012-11-09 |
Provider Mailing Address Detail
| Address | 2925 Palo Verde Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908151552 |
| Phone Number | 5624292473 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15689 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Derrick Bernard Johnson by the Centers for Medicare & Medicaid Services?
The Derrick Bernard Johnson has been assigned the NPI (National Provider Identifier) 1609093277 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Derrick Bernard Johnson's facilities are situated?
The facilities of Derrick Bernard Johnson are physically located at the following address: 2925 Palo Verde Ave, Long Beach, CA, 908151552.
What is the area of specialization for Derrick Bernard Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Derrick Bernard Johnson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1609093277 assigned to Derrick Bernard Johnson?
The Derrick Bernard Johnson was issued its 1609093277 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Derrick Bernard Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Derrick Bernard Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-09.
NPI Number: 1376546309
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