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GARY ANDREW JOHANSON M.D.
NPI 1215043229
Family Medicine - Hospice and Palliative Medicine in Santa Rosa, CA

Active since August 22, 2006
500 DOYLE PARK DR, SUITE G04, SANTA ROSA, CA 95405(707) 573-8984(707) 573-0982 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2021, Feb 1, 2021 (2 updates tracked since 2021).

About Gary Andrew Johanson M.d. NPPES

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

GARY ANDREW JOHANSON M.D. (NPI 1215043229) is an individual hospice and palliative medicine provider in Santa Rosa, California, licensed in California (G32438) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215043229
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameGARY ANDREW JOHANSONCredential: M.D.
Location Address500 DOYLE PARK DR, SUITE G04Santa Rosa, CA 95405-4558
Mailing Address500 Doyle Park Dr, Suite G04Santa Rosa, CA 95405-4558 · (707) 573-8984 · Fax (707) 573-0982
Phone(707) 573-8984
Fax(707) 573-0982
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1215043229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in CA · G32438
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License G32438 (CA)
500 DOYLE PARK DR, Santa Rosa, CA 95405
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Other Identifiers 2

Other680479679CA · Tax Id
Other33-0185031CA · Tax Id# As Of 9/1/2010

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.

LEO ARTHUR SMITH MD
Family Medicine
500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405
Sonoma County (707) 303-8360
CYNTHIA R. INGELS MSN,N.P.
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405
Sonoma County (707) 579-1102
DR. JAMES CHARLES DEVORE MD
Family Medicine
500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405
Sonoma County (707) 303-8360
DR. TOMAS VASILIAUSKAS M.D.
Internal Medicine (Cardiovascular Disease)
500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 95405
Sonoma County (707) 576-7100
ERAN MATALON M.D.
Internal Medicine
500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405
Sonoma County (707) 545-1700
RAMZI KHALIL DEEIK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405
Sonoma County (707) 255-8825
DR. JOEL E PAINE MD
Internal Medicine
500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405
Sonoma County (707) 303-8344
ANNADEL MEDICAL GROUP, INC
Pediatrics
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405
Sonoma County (707) 544-6090

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 Gary Johanson's NPI number?

The NPI number for Gary Johanson is 1215043229. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Gary Johanson located?

Gary Johanson practices at 500 Doyle Park Dr Suite G04, Santa Rosa, CA 95405. The listed phone number is (707) 573-8984.

What is Gary Johanson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

When was this NPI record last updated?

The NPPES record for Gary Johanson was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.