Derek Johnson, DO | |
350 John Muir Pkwy Ste 105, Brentwood, CA 94513-5183 | |
(925) 513-2483 | |
(925) 513-4957 |
Full Name | Derek Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 350 John Muir Pkwy Ste 105, Brentwood, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407876063 | NPI | - | NPPES |
00AX82200 | Medicaid | CA | |
20A8220 | Other | CA | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A8220 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Delta Medical Center | Antioch, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Bay Medical Foundation | 4284538778 | 2995 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Derek Johnson, DO 2350 W El Camino Real Fl 2, Mountain View, CA 94040-6203 Ph: (925) 513-2483 | Derek Johnson, DO 350 John Muir Pkwy Ste 105, Brentwood, CA 94513-5183 Ph: (925) 513-2483 |
Dr. Brenda Chinenye Chuksorji, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 350 John Muir Pkwy Ste 105, Brentwood, CA 94513 Phone: 925-727-6978 | |
Mrs. Linda A Obekpa-agwada, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Balfour Rd Ste 201, Brentwood, CA 94513 Phone: 925-308-8112 Fax: 925-308-8710 | |
Dr. Adriana Arreola Sablan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Balfour Rd, Suite 120, Brentwood, CA 94513 Phone: 925-308-8112 | |
Dr. Marie J Mcglynn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3291 Walnut Blvd, Suite 100, Brentwood, CA 94513 Phone: 925-513-9495 Fax: 925-626-3782 | |
Dr. Scott C Bledsoe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Balfour Rd, Suite 120, Brentwood, CA 94513 Phone: 925-308-8112 Fax: 925-308-8710 | |
Marissa Pagsolingan Opilas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 John Muir Pkwy Ste 105, Brentwood, CA 94513 Phone: 925-776-7725 Fax: 510-506-7727 |