David Scott Johnson, MD | |
49305 Grapefruit Blvd Ste 1, Coachella, CA 92236-1490 | |
(760) 398-0723 | |
Not Available |
Full Name | David Scott Johnson |
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Gender | Male |
Speciality | Surgery |
Location | 49305 Grapefruit Blvd Ste 1, Coachella, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104910306 | NPI | - | NPPES |
A88275 | Other | CA | CALIFORNIA MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 12949 (Hawaii) | Secondary |
208600000X | Surgery | A88275 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Mark Twain Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
Entity Name | Emergency Associates Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003866120 PECOS PAC ID: 8022196518 Enrollment ID: O20080424000144 |
Entity Name | Premier Urgent Care Centers Of California Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316338619 PECOS PAC ID: 9638499668 Enrollment ID: O20150514002313 |
Mailing Address | Practice Location Address |
---|---|
David Scott Johnson, MD 31938 Temecula Pkwy Ste A337, Temecula, CA 92592-6810 Ph: () - | David Scott Johnson, MD 49305 Grapefruit Blvd Ste 1, Coachella, CA 92236-1490 Ph: (760) 398-0723 |
Dr. Juan M. Acosta, MD Surgery Medicare: Medicare Enrolled Practice Location: 52565 Cesar Chavez St Ste 104, Coachella, CA 92236 Phone: 760-398-0606 |