MR. RANDY PHILLIP JOHNSON MD
NPI 1073671921
Allergy & Immunology - Allergy in Santa Maria, CA

Active since December 04, 2006PECOS Enrolled
2151 S COLLEGE DR, SUITE 105, SANTA MARIA, CA 93455(805) 922-6610(805) 922-1226 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy Phillip Johnson Md NPPES

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

MR. RANDY PHILLIP JOHNSON MD (NPI 1073671921) is an individual allergy provider in Santa Maria, California, licensed in California (G62052) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073671921
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameMR. RANDY PHILLIP JOHNSONCredential: MD
Location Address2151 S COLLEGE DR, SUITE 105Santa Maria, CA 93455-1302
Mailing Address2151 S College Dr, Suite 105Santa Maria, CA 93455-1302 · (805) 922-6610 · Fax (805) 922-1226
Fax(805) 922-1226
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 16, 2010
NPI 1073671921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in CA · G62052
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
2151 S COLLEGE DR, Santa Maria, CA 93455

Other Identifiers 2

Medicare UPINA93127
Medicare ID-Type UnspecifiedG52032CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Randy Phillip Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Family Medicine
2151 S COLLEGE DR, SUITE 203
SANTA MARIA, CA 93455
Dentist (General Practice)
2151 S COLLEGE DR, SUITE 201
SANTA MARIA, CA 93455
Dentist (Oral and Maxillofacial Surgery)
2151 S COLLEGE DR, SUITE 104
SANTA MARIA, CA 93455
Dentist (General Practice)
2151 S COLLEGE DR, SUITE 202
SANTA MARIA, CA 93455
Dentist (General Practice)
2151 S COLLEGE DR, SUITE 201
SANTA MARIA, CA 93455
Dentist (Periodontics)
2151 S COLLEGE DR, STE 205
SANTA MARIA, CA 93455

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 Randy Johnson's NPI number?

The NPI number for Randy Johnson is 1073671921. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Randy Johnson located?

Randy Johnson practices at 2151 S College Dr Suite 105, Santa Maria, CA 93455. The listed phone number is (805) 922-6610.

What is Randy Johnson's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Randy Johnson enrolled in Medicare?

Yes. Randy Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Johnson was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.