Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LIBRE JOHNSON, M.D.
ActiveDR. LIBRE JOHNSON, M.D. is a Family Medicine healthcare provider located in SANTA ROSA, California. NPI 1770683658 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANTA ROSA, CA
Registration Details
- NPI Number
- 1770683658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.886947546003 yrs)
- Last Updated
- Jan 25, 2023
- Licenses
-
2003-01001 (NC)A76860 (CA)
Practice Information
- Address
-
2240 MERCURY WAY FL 3SANTA ROSA, CA, 954075413Browse CA providers · Browse ZIP 95407
- Phone
- 7075703303
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| ALVIN I GORE | MD | 1326042821 |
| JENNIFER L BETTS | MD | 1518965771 |
| PATRICIA WHOOLEY KULAWIAK | MD | 1487649711 |
| BRUCE G HELLER | MD | 1932194123 |
| JAMES F STONE JR. | MD | 1669468682 |
| NEIL J NATHAN | MD | 1174510788 |
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.