Jan Marie Johnston, MD | |
715 Camino Catalina, Solana Beach, CA 92075-1631 | |
(650) 704-7651 | |
Not Available |
Full Name | Jan Marie Johnston |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 715 Camino Catalina, Solana Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477689404 | NPI | - | NPPES |
7100036490 | Medicaid | KY | |
000000512881 | Other | KY | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G61754 (California) | Primary |
Entity Name | Family Health Centers Of San Diego, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
---|---|
Jan Marie Johnston, MD 715 Camino Catalina, Solana Beach, CA 92075-1631 Ph: (650) 704-7651 | Jan Marie Johnston, MD 715 Camino Catalina, Solana Beach, CA 92075-1631 Ph: (650) 704-7651 |
Daniel M Pertschuk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 166 Las Banderas Dr, Solana Beach, CA 92075 Phone: 760-535-2978 | |
Dr. Kevin Daniel Shaw, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 756 Barbara Ave, Solana Beach, CA 92075 Phone: 858-354-6331 | |
Dr. Ivan M Lieberburg, PH.D., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 440 Stevens Ave, Suite 100, Solana Beach, CA 92075 Phone: 650-302-8344 Fax: 858-400-3101 | |
Dr. Mark E. Kalina, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 427 S Cedros Ave, Suite 101, Solana Beach, CA 92075 Phone: 858-876-6360 Fax: 800-876-6912 | |
Brigitte Sacco, L. AC. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 444 S Cedros Ave Ste 120, Solana Beach, CA 92075 Phone: 315-569-7801 | |
Dr. Blaine Kenton Jackson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 773 Academy Dr, Solana Beach, CA 92075 Phone: 858-259-9708 Fax: 858-259-9689 |