NOAH JOHNSON MD PC
NPI 1811168388
Family Medicine in Santee, CA
About Noah Johnson Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOAH JOHNSON MD PC (NPI 1811168388) is a healthcare organization registered as a family medicine in Santee, California and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Terri Woolley, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Noah Johnson Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Noah Johnson MD PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1010798
Noah C Johnson MD · Santee, CAFrequently 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 Noah Johnson MD PC's NPI number?
The NPI number for Noah Johnson MD PC is 1811168388. It was assigned to this organization in the NPPES registry on March 12, 2008.
Where is Noah Johnson MD PC located?
Noah Johnson MD PC is located at 10158 Buena Vista Ave, Santee, CA 92071. The listed phone number is (619) 562-1140.
What is Noah Johnson MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Noah Johnson MD PC enrolled in Medicare?
Yes. Noah Johnson MD PC is registered in the Medicare PECOS enrollment system.
When is Noah Johnson MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Noah Johnson MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Noah Johnson MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Noah Johnson MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1010798) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Noah Johnson MD PC was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Noah Johnson Md Pc · NPI 1811168388
Family Medicine organization in Santee, California. Organization record, active in the CMS NPPES registry since March 12, 2008.
## Identity
- **NPI:** 1811168388 (Entity type: Organization)
- **Enumerated:** March 12, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Terri Woolley, OFFICE MANAGER
## Practice location
- **Address:** 10158 BUENA VISTA AVE, Santee, CA 92071-4435
- **Phone:** (619) 562-1140 · **Fax:** (619) 562-5362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2008
- **Other identifiers:** Medicare PIN W17131 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811168388) · Data from the CMS NPPES public registry.