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DR. MILLARD E. JOHNSON MD
NPI 1730162892
Pediatrics in Modesto, CA

Active since November 22, 2005PECOS Enrolled
1510 FLORIDA AVE, SUITE F, MODESTO, CA 95350(209) 549-7090(209) 549-7099 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Millard E. Johnson Md NPPES

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

DR. MILLARD E. JOHNSON MD (NPI 1730162892) is an individual pediatrics provider in Modesto, California, licensed in California (A62787) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730162892
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MILLARD E. JOHNSONCredential: MD
Location Address1510 FLORIDA AVE, SUITE FModesto, CA 95350-4437
Mailing Address737 W Childs AveMerced, CA 95340-6805 · (209) 385-5529 · Fax (209) 384-3966
Phone(209) 549-7090
Fax(209) 549-7099
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1730162892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A62787
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1510 FLORIDA AVE, Modesto, CA 95350
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Other Identifiers 2

Other061924CA · Board Cert #
Other00A627870CA · Blue Shield Of Ca Pin

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. Millard E. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GOLDEN VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1510 FLORIDA AVE, SUITE B
MODESTO, CA 95350
Stanislaus County (209) 549-7090
GOLDEN VALLEY HEALTH CENTERS
Obstetrics & Gynecology
1510 FLORIDA AVE, SUITE B
MODESTO, CA 95350
Stanislaus County (209) 574-1367
KISHORE KUMAR GADDAM M.D
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 722-4842
HEATHER LEE MD
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 492-7150
MOHAMED ASHKAR
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 722-4842
BASSAM ALJOMARD MD
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (866) 682-4842
ALESSANDRA MARIE VALENZUELA PORFIDO PA-C
Physician Assistant
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (866) 682-4842
DR. ELAINE JOY TUBAYAN SORIANO MD
Internal Medicine
1510 FLORIDA AVE, SUITE H
MODESTO, CA 95350
Stanislaus County (209) 574-1030

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 Millard Johnson's NPI number?

The NPI number for Millard Johnson is 1730162892. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Millard Johnson located?

Millard Johnson practices at 1510 Florida Ave Suite F, Modesto, CA 95350. The listed phone number is (209) 549-7090.

What is Millard Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Millard Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Millard Johnson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.