| Timothy S. Johnston, M.d. Pc | |
|
3349 G St Suite F Merced CA 95340-0993 | |
| (209) 349-8549 | |
| (209) 580-4138 |
| Full Name | Timothy S. Johnston, M.d. Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3349 G St, Merced, California |
| Authorized Official Name and Position | Timothy Scott Johnston (OWNER/OPERATOR) |
| Authorized Official Contact | 2097562275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S. Johnston, M.d. Pc 3349 G St Ste F Merced CA 95340-0978 Ph: (209) 349-8549 | Timothy S. Johnston, M.d. Pc 3349 G St Suite F Merced CA 95340-0993 Ph: (209) 349-8549 |
| NPI Number | 1407306665 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 1456638238 |
|---|---|
| Medicare Enrollment ID | O20170503002455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407306665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G58698 (California) | Primary |
| Provider Name | Marie P David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831202233 PECOS PAC ID: 1153227855 Enrollment ID: I20031211001163 |
| Provider Name | Timothy S Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528097847 PECOS PAC ID: 6800863846 Enrollment ID: I20040913000562 |
| Provider Name | Brian L Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992817472 PECOS PAC ID: 7416924543 Enrollment ID: I20040916000718 |
| Provider Name | Augustine Q Provencio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467590158 PECOS PAC ID: 6204866916 Enrollment ID: I20071203000559 |
| Provider Name | Man-siak Mak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609875004 PECOS PAC ID: 4183786122 Enrollment ID: I20081229000299 |
| Provider Name | Linda G Ottemoeller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912978115 PECOS PAC ID: 2567642432 Enrollment ID: I20110224000085 |
| Provider Name | Eunice E Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518154277 PECOS PAC ID: 2860617057 Enrollment ID: I20140701002403 |
| Provider Name | Lynda P Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611272 PECOS PAC ID: 5294014122 Enrollment ID: I20161117001391 |
| Provider Name | Andrea Naomi Heyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194159319 PECOS PAC ID: 8022239441 Enrollment ID: I20190605002369 |
| Provider Name | Julie Diane Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205481157 PECOS PAC ID: 5496165714 Enrollment ID: I20201027003245 |
| Provider Name | Gina Leisha Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023564812 PECOS PAC ID: 4183047590 Enrollment ID: I20210525000918 |
| Provider Name | Krista Marie Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447919501 PECOS PAC ID: 5991182131 Enrollment ID: I20220822001945 |
| Provider Name | Nicolette Pinocchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972282069 PECOS PAC ID: 7113371899 Enrollment ID: I20230928003081 |
| Provider Name | Stephanie Rose Galleto Lao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598466724 PECOS PAC ID: 1355787045 Enrollment ID: I20240318002746 |
| Provider Name | Mara Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285415141 PECOS PAC ID: 0547608143 Enrollment ID: I20240402001270 |
| Provider Name | Karina Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396506820 PECOS PAC ID: 9537507751 Enrollment ID: I20240409000294 |
Mfa G Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3393 G St, Suite C, Merced, CA 95340 Phone: 209-725-7149 | |
Parminder S Sidhu Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3850 G St, Merced, CA 95340 Phone: 029-661-4403 | |
Roger L. Fife, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 West Olive Avenue, Suite 104, Merced, CA 95348 Phone: 209-723-9879 Fax: 209-384-9027 | |
Gettysburg Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Merced, CA 95340 Phone: 209-725-2060 Fax: 209-725-2072 | |
Mfa Parkside Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 W 25th St, Merced, CA 95340 Phone: 209-722-9066 Fax: 209-383-1522 | |
Bhrs The-center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E 13th St Ste B, Merced, CA 95341 Phone: 209-381-6800 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 W Olive Ave, Merced, CA 95348 Phone: 209-381-4104 Fax: 209-384-3966 |