James Avery Johnson, MD
Surgery in La Mesa, CA. Individual provider (NPI-1).
NPI number1982929329
StatusActive
Last updated in NPPESMar 29, 2010
Details
- NPI
- 1982929329
- Entity type
- Individual (NPI-1)
- Name
- James Avery Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2010
- Last updated
- Mar 29, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | G21631 | CA | Yes |
Practice location
8660 Sunrise LnLa Mesa, CA 91941-5534
Phone 619-460-6875 · Fax 619-460-4047
Mailing address
8660 Sunrise LnLa Mesa, CA 91941-5534
Phone 619-460-6875 · Fax 619-460-4047
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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