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DR. ALEXANDRA ROTHENBERG JOHNSON MD
NPI 1932425956
Family Medicine in Santa Cruz, CA

Active since April 15, 2010Opted out of Medicare · through Feb 19, 2028
1690 GLEN CANYON RD, SANTA CRUZ, CA 95060(510) 455-8008(510) 244-0569 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alexandra Rothenberg Johnson Md NPPES

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

DR. ALEXANDRA ROTHENBERG JOHNSON MD (NPI 1932425956) is an individual family medicine provider in Santa Cruz, California, licensed in California (A148633) and active in the NPI registry since April 2010. She has opted out of Medicare through February 19, 2028.

NPPES Registry Identity

NPI1932425956
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALEXANDRA ROTHENBERG JOHNSONCredential: MD
Location Address1690 GLEN CANYON RDSanta Cruz, CA 95060-1219
Mailing Address1690 Glen Canyon RdSanta Cruz, CA 95060-1219 · (510) 455-8008 · Fax (510) 244-0569
Phone(510) 455-8008
Fax(510) 244-0569
Sole ProprietorYes
Enumeration DateApril 15, 2010
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1932425956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A148633
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1690 GLEN CANYON RD, Santa Cruz, CA 95060
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Other Identifiers 1

Other316228YL0XCO · Medicare Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alexandra Rothenberg Johnson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2024 through February 19, 2028.

Opt-Out Effective DateFebruary 19, 2024
Opt-Out In Effect ThroughFebruary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Alexandra Johnson's NPI number?

The NPI number for Alexandra Johnson is 1932425956. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Alexandra Johnson located?

Alexandra Johnson practices at 1690 Glen Canyon Rd, Santa Cruz, CA 95060. The listed phone number is (510) 455-8008.

What is Alexandra Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexandra Johnson enrolled in Medicare?

No. Alexandra Johnson has opted out of Medicare through February 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alexandra Johnson was last updated on December 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.