Dr Carl E Johnson, MD | |
24 Las Praderas Dr, San Luis Obispo, CA 93401-7410 | |
(805) 544-7832 | |
Not Available |
Full Name | Dr Carl E Johnson |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology |
Location | 24 Las Praderas Dr, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487679684 | NPI | - | NPPES |
00A335721 | Other | CA | BLUE SHIELD OF CALIFORNIA |
00A335720 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | A33572 (California) | Primary |
Entity Name | Atown Labs Llc |
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Entity Type | Part B Supplier - Independent Clinical Laboratory |
Entity Identifiers | NPI Number: 1083325641 PECOS PAC ID: 4486026150 Enrollment ID: O20230206001429 |
Mailing Address | Practice Location Address |
---|---|
Dr Carl E Johnson, MD Po Box 959, Templeton, CA 93465-0959 Ph: (805) 434-1375 | Dr Carl E Johnson, MD 24 Las Praderas Dr, San Luis Obispo, CA 93401-7410 Ph: (805) 544-7832 |
Jessica Farrell, Pathology Medicare: Accepting Medicare Assignments Practice Location: 3701 S Higuera St, San Luis Obispo, CA 93401 Phone: 805-541-6033 | |
Hugh Randolph Byers, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3701 S Higuera St Ste 200, San Luis Obispo, CA 93401 Phone: 805-541-6033 Fax: 805-540-5357 | |
Dawn L Ellerson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401 Phone: 805-541-6033 | |
David L Lawrence, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401 Phone: 805-541-6033 | |
Bruce D Ragsdale, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401 Phone: 805-541-6033 | |
Oliver Anthony Press, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3701 S Higuera St, San Luis Obispo, CA 93401 Phone: 805-546-0907 | |
Dr. Zoltan Nagymanyoki, M.D., PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3701 S Higuera St, San Luis Obispo, CA 93401 Phone: 805-546-0907 |