Mr Randy Phillip Johnson, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Santa Maria, California. His current practice location is
2151 S College Dr, Suite 105, Santa Maria, California. You can reach out to his office (for appointments etc.) via phone at
(805) 922-6610.
Mr Randy Phillip Johnson is licensed to practice in California (license number G62052) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073671921.
Physician's Profile
Full Name | Mr Randy Phillip Johnson |
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Gender | Male |
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Speciality | Allergy & Immunology - Allergy |
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Location | 2151 S College Dr, Santa Maria, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073671921
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 09/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 4981738721
- Enrollment ID: I20100817000021
Medical Identifiers
Medical identifiers for Mr Randy Phillip Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073671921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | G62052 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randy Phillip Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Randy Phillip Johnson, MD 2151 S College Dr, Suite 105, Santa Maria, CA 93455-1302 Ph: (805) 922-6610 | Mr Randy Phillip Johnson, MD 2151 S College Dr, Suite 105, Santa Maria, CA 93455-1302 Ph: (805) 922-6610 |
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