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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY RONALD JOHNSON, M.D.

Active Sole Proprietor

DR. GARY RONALD JOHNSON, M.D. is a Family Medicine healthcare provider located in SAN ANDREAS, California. NPI 1114013513 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAN ANDREAS, CA

Registration Details

NPI Number
1114013513
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.846079304735 yrs)
Last Updated
Nov 5, 2024
Licenses
G27755 (CA)
G27755 (CA)
G27755 (CA)
Sole Proprietor
Yes

Practice Information

Address
588 W. ST.CHARLES STREET
SAN ANDREAS, CA, 95249
Browse CA providers · Browse ZIP 95249
Phone
2097541851
Fax
2097540231
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Internal Medicine

Other Family Medicine Providers in SAN ANDREAS, CA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.