Dr Kenneth Andrew Johnson, MD | |
3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 | |
(949) 552-6266 | |
Not Available |
Full Name | Dr Kenneth Andrew Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3500 Barranca Pkwy Ste 130, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851404263 | NPI | - | NPPES |
00A659480 | Other | CA | BLUE SHIELD ID # |
00A659480 | Medicaid | CA | |
00A659480385 | Other | CA | CALOPTIMA ID # |
050081654 | Other | CA | RAILROAD MEDICARE ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A65948 (California) | Primary |
Entity Name | Kenneth Andrew Johnson Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942435029 PECOS PAC ID: 7214100577 Enrollment ID: O20121011000606 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Andrew Johnson, MD Po Box 5486, Orange, CA 92863-5486 Ph: (818) 550-0900 | Dr Kenneth Andrew Johnson, MD 3500 Barranca Pkwy Ste 130, Irvine, CA 92606-8227 Ph: (949) 552-6266 |
Samuel Ryan Park, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22 Odyssey Ste 155, Irvine, CA 92618 Phone: 949-207-7650 | |
Dr. Richard Selwyn Ginsburg, MBCHB Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 26 Waterway, Irvine, CA 92614 Phone: 949-231-7234 | |
Amir B Rafizad, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 113 Waterworks Way, Suite 345, Irvine, CA 92618 Phone: 949-872-2400 Fax: 949-872-2401 | |
Bruce Thuman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd, Irvine, CA 92618 Phone: 949-341-3499 Fax: 949-788-0556 | |
Dr. Ariana Marie Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 19200 Jamboree Rd, Irvine, CA 92612 Phone: 714-456-8888 | |
Edouard E Rivera, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 18102 Sky Park Cir Ste D, Irvine, CA 92614 Phone: 949-723-9603 | |
William Mading, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd, #200, Irvine, CA 92618 Phone: 929-341-3499 Fax: 949-788-0556 |