Gary R Johnson MD, Inc
Gary R Johnson MD, Inc is a healthcare organization registered as Legal Medicine in San Andreas, CA, holding Type 2 (organization) NPI 1073695557 since 2006. The authorized official on file is Gary Johnson, Owner/Physican.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073695557 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gary R Johnson MD, Inc |
| Practice address | 588 W ST CHARLES, San Andreas, CA, 95249 |
| Phone | 2097541851 |
| Fax | 2097540231 |
| Enumeration date | 2006-10-20 |
| Last updated in NPPES | 2019-07-10 |
Authorized official
| Name | Gary Johnson |
|---|---|
| Title | Owner/Physican |
| Phone | 2097541851 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 173000000X | Legal Medicine | Primary | G27755 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G277550 | Medicaid | CA | — |
| 1114013513 | Other | CA | INDIVIDUAL NPI |
Copy-ready billing details
Provider: Gary R Johnson MD, Inc NPI: 1073695557 Taxonomy: 173000000X (Legal Medicine) Address: 588 W ST CHARLES, San Andreas, CA, 95249
Verify this record
Cross-check NPI 1073695557 against the authoritative CMS record: view Gary R Johnson MD, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Gary R Johnson MD, Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2019-07-10.