CHARLES E JOHNSON PA-C
NPI 1124090949
Physician Assistant in Pahrump, NV

Q: What is Charles Johnson's NPI number?

The NPI number for Charles Johnson is 1124090949. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Q: What is Charles Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Johnson was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 06, 2006

1501 E CALVADA BLVD, PAHRUMP, NV 89048(775) 727-5509(775) 727-5696 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles E Johnson Pa-c NPPES

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

CHARLES E JOHNSON PA-C (NPI 1124090949) is an individual physician assistant in Pahrump, Nevada, licensed in Nevada (PA-C0149) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1124090949

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCHARLES E JOHNSONCredential: PA-C

Location Address1501 E CALVADA BLVDPahrump, NV 89048-5807

Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 507-2419 · Fax (702) 671-6883

Phone(775) 727-5509

Fax(775) 727-5696

Sole ProprietorNo

Enumeration DateFebruary 6, 2006

Last NPPES UpdateJanuary 25, 2012

✔ NPI 1124090949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NV · PA-C0149

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1501 E CALVADA BLVD, Pahrump, NV 89048

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Other Identifiers 6

Medicaid1124090949NV

Medicare ID-Type Unspecified101737NV · Group

OtherP00865044NV · Railroad Medicare

Medicare PINDT596ZNV

Medicare PINDT596YNV

Medicare ID-Type Unspecified102126NV · Individual

Other Providers at the Same Location NPPES 10

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

HA T LE PA-C

Physician Assistant (Medical)