Susan Rideout Johnson, MD in Colfax, CA

Susan Rideout Johnson, MD - Pediatrics in Colfax, CA

Susan Rideout Johnson, MD is a Pediatrics - Developmental - Behavioral Pediatrics physician based in Colfax, California. Susan Rideout Johnson is licensed to practice in California (license number G59919) and her current practice location is 54 West Grass Valley Street, Colfax, California. She can be reached at her office (for appointments etc.) via phone at (916) 638-8758.

NPI number for Susan Rideout Johnson is 1083828297 and her current mailing address is Po Box 1621, 54 W Grass Valley St, Colfax, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083828297.

Contact Information

	Susan Rideout Johnson, MD
	54 West Grass Valley Street, Colfax, CA 95713-9463
	(916) 638-8758
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan Rideout Johnson
Gender	Female
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	54 West Grass Valley Street, Colfax, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1083828297
Provider Enumeration Date: 05/09/2007
Last Update Date: 08/23/2007

Medical Identifiers

Medical identifiers for Susan Rideout Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083828297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	G59919 (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. Susan Rideout Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Susan Rideout Johnson, MD Po Box 1621, 54 W Grass Valley St, Colfax, CA 95713-9463 Ph: (916) 638-8758	Susan Rideout Johnson, MD 54 West Grass Valley Street, Colfax, CA 95713-9463 Ph: (916) 638-8758