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DR. RICHARD G JOHNSON JR. M.D
NPI 1083691182
Specialist in Glendora, CA

Active since December 29, 2005PECOS Enrolled
415 W CARROLL AVE, GLENDORA, CA 91741(626) 914-5219(626) 914-7846 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Richard G Johnson Jr. M.d NPPES

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

DR. RICHARD G JOHNSON JR. M.D (NPI 1083691182) is an individual specialist in Glendora, California, licensed in California (G45973) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083691182
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RICHARD G JOHNSON JR.Credential: M.D
Location Address415 W CARROLL AVEGlendora, CA 91741-4208
Mailing Address415 W Carroll AveGlendora, CA 91741-4208 · (626) 914-5219 · Fax (626) 914-7846
Phone(626) 914-5219
Fax(626) 914-7846
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateMarch 25, 2011
✔ NPI 1083691182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G45973
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
415 W CARROLL AVE, Glendora, CA 91741
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Other Identifiers 3

Medicare UPINA92616CA
Medicare ID-Type UnspecifiedWG45973ECA · Medicare Number
Medicaid00G459730CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard G Johnson Jr. M.d 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims35 services$16.65 avg. paid by Medicare
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$109.38 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers72 claims72 services$13.86 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers29 claims29 services$24.52 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier12 claims12 services$74.57 avg. paid by Medicare
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$52.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

VALLEY GASTOENTEROLOGY CONSULTANTS
Internal Medicine (Gastroenterology)
415 W CARROLL AVE, SUITE 201
GLENDORA, CA 91741
Los Angeles County (626) 963-2490
ELIZABETH VERNETTI
Physical Therapist
415 W CARROLL AVE
GLENDORA, CA 91741
Los Angeles County (626) 335-7553
GLENDORA SPORTS MEDICINE
Clinic/Center (Physical Therapy)
415 W CARROLL AVE
GLENDORA, CA 91741
Los Angeles County (626) 335-7553
BYRON T SONG, M.D. INC
Specialist
415 W CARROLL AVE, SUITE 202
GLENDORA, CA 91741
Los Angeles County (626) 963-1627
RICHARD G JOHNSON MD INC
Specialist
415 W CARROLL AVE, STE 100
GLENDORA, CA 91741
Los Angeles County (626) 914-5219
MELISSA FROST RN A PROFESSIONAL CORPORATION
Nurse Practitioner (Psychiatric/Mental Health)
415 W CARROLL AVE, SUITE 204
GLENDORA, CA 91741
Los Angeles County (626) 600-8543
S. MOURANI & E. TARAKJI MEDICAL PARTNERSHIP
Internal Medicine (Gastroenterology)
415 W CARROLL AVE, SUITE 201
GLENDORA, CA 91741
Los Angeles County (626) 963-2490

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 Richard Johnson's NPI number?

The NPI number for Richard Johnson is 1083691182. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Richard Johnson located?

Richard Johnson practices at 415 W Carroll Ave, Glendora, CA 91741. The listed phone number is (626) 914-5219.

What is Richard Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Richard Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Johnson was last updated on March 25, 2011. 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.