Jennifer A Johnson
Rheumatology
39400 Paseo Padre Pkwy Dept Of
Fremont
, California 94538-2310
Jennifer A Johnson
Rheumatology
39400 Paseo Padre Pkwy Dept Of
Fremont
, California 94538-2310
(510) 248-7033
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Jennifer A Johnson
- 39400 Paseo Padre Pkwy Department Of Rheumatology
- Fremont, CA
- Zip : 94538
- Fax : (510) 248-7033
- Phone : (510) 248-3000
Second Address
- Jennifer A Johnson
- 39400 Paseo Padre Pkwy Dept Of
- Fremont, CA
- Zip : 94538-2310
- Fax : (510) 248-7033
- Phone : (510) 248-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | CA127145 | CA |
National Provider Identifier
| NPI | 1043582109 |
|---|---|
| Provider Name | Jennifer A Johnson |
| First Address | Fremont, CA 94538 |
| Second Address | Fremont, CA 94538-2310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2012 |
| Last Update Date | 18/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 113790 | SID # 113790 (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.