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BERT JAY JOHNS III MD
NPI 1053395848
Surgery in Daly City, CA

Active since December 05, 2005
1800 SULLIVAN AVE, SUITE 507, DALY CITY, CA 94015(650) 994-9936(650) 994-2016 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bert Jay Johns Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERT JAY JOHNS III MD (NPI 1053395848) is an individual surgery provider in Daly City, California, licensed in California (G62546) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1053395848
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBERT JAY JOHNS IIICredential: MD
Location Address1800 SULLIVAN AVE, SUITE 507Daly City, CA 94015-2225
Mailing Address1800 Sullivan Ave, Suite 507Daly City, CA 94015-2225 · (650) 994-9936 · Fax (650) 994-2016
Phone(650) 994-9936
Fax(650) 994-2016
Sole ProprietorYes
Enumeration DateDecember 5, 2005
Last NPPES UpdateApril 29, 2009
✔ NPI 1053395848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G62546
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1800 SULLIVAN AVE, Daly City, CA 94015
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Other Identifiers 3

Medicare UPINA53695
Medicare PIN00G625460
Medicaid00G625460CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN W. WILSON, MD, INC.
Family Medicine
1800 SULLIVAN AVE, ROOM 503
DALY CITY, CA 94015
San Mateo County (650) 994-9090
DR. JOSEPH RAYMOND MEYERS M.D.
Orthopaedic Surgery
1800 SULLIVAN AVE, #308
DALY CITY, CA 94015
San Mateo County (650) 755-4000
DR. GARY W OLIVER MD
Pathology (Dermatopathology)
1800 SULLIVAN AVE, SUITE 403
DALY CITY, CA 94015
San Mateo County (650) 994-3238
DR. JOSEPHUS-IAN LUMONGSUD SANJORJO MD
Internal Medicine (Nephrology)
1800 SULLIVAN AVE, SUITE 507
DALY CITY, CA 94015
San Mateo County (650) 817-7188
ELLICK TSANG M D CORPORATION
Internal Medicine
1800 SULLIVAN AVE, SUITE 304
DALY CITY, CA 94015
San Mateo County (650) 992-8484
MRS. ANADELIA B KIM NP
Nurse Practitioner
1800 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-5300
DR. YIN-YIN MYINT M.D.
Internal Medicine
1800 SULLIVAN AVE, STE 601
DALY CITY, CA 94015
San Mateo County (650) 992-2890
DR. PEDRO LIWANAG CAJATOR MEDICAL DOCTOR
Family Medicine
1800 SULLIVAN AVE, RM 101
DALY CITY, CA 94015
San Mateo County (650) 994-0459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bert Johns's NPI number?

The NPI number for Bert Johns is 1053395848. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Bert Johns located?

Bert Johns practices at 1800 Sullivan Ave Suite 507, Daly City, CA 94015. The listed phone number is (650) 994-9936.

What is Bert Johns's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Bert Johns was last updated on April 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.