CHARLES SANFORD JOHNSON JR. M.D.
NPI 1831138106
Otolaryngology in Stockton, CA

Q: What is Charles Johnson's NPI number?

The NPI number for Charles Johnson is 1831138106. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Charles Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Johnson was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 05, 2006

2545 W HAMMER LN, STOCKTON, CA 95209(209) 957-7050 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Sanford Johnson Jr. M.d. NPPES

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

CHARLES SANFORD JOHNSON JR. M.D. (NPI 1831138106) is an individual otolaryngology provider in Stockton, California, licensed in California (G566880) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1831138106

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameCHARLES SANFORD JOHNSON JR.Credential: M.D.

Location Address2545 W HAMMER LNStockton, CA 95209-2839

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097

Phone(209) 957-7050

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateJune 17, 2013

✔ NPI 1831138106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · G566880

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2545 W HAMMER LN, Stockton, CA 95209

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Other Identifiers 2

Medicare UPING50022CA

Medicare ID-Type Unspecified00G566882CA

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.

DR. NKECHIYERE NICOLE EBOKA DO

Family Medicine