Deactivated NPI 1730255944 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Johnson , MD

General Practice • Los Angeles, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2006

NPI Deactivation Date June 05, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, MD was a registered General Practice practicing in Los Angeles, CA. Throughout an active medical career spanning 18 years, Dr. Johnson provided care at the practice location at 2208 W 7TH ST until profile deactivation on 2024-06-05.

Historical Medicare Part B clinical services included established patient outpatient office visit, blood glucose (sugar) level, routine ekg using at least 12 leads including interpretation and report. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2208 W 7th St

Los Angeles, CA 900574002

Telephone 2133843434

Fax 2133862039

Associated Practice Facility / Clinic

🏢 Los Angeles Clinica Medica General Medical Center, Inc. Facility NPI 1265489751

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Los Angeles, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

208 Specialists

Practicing in Los Angeles, CA (2300 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	110	$124.96	$102.56
82947 Blood glucose (sugar) level	120	63	$7.98	$3.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$180.00	$145.09
93000 Routine ekg using at least 12 leads including interpretation and report	47	43	$25.00	$16.67
81003 Automated urinalysis test	41	36	$5.00	$2.25
71046 X-ray of chest, 2 views	36	35	$60.00	$39.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$180.00	$148.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	18	$25.00	$16.09
G0444 Annual depression screening, 5 to 15 minutes	34	34	$25.00	$21.51
99497 Advance care planning, first 30 minutes	33	33	$140.00	$94.05
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	16	16	$35.00	$29.41
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$70.00	$46.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	21	$2.00	$1.55
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	106	87	$48.00	$46.03
J0696 Injection, ceftriaxone sodium, per 250 mg	104	26	$15.00	$0.59
99213 Established patient office or other outpatient visit, typically 15 minutes	104	75	$115.00	$83.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	43	$17.00	$15.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg	80	11	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	55	$140.00	$120.81
J1885 Injection, ketorolac tromethamine, per 15 mg	60	14	$1.00	$0.52
82947 Blood glucose (sugar) level	58	41	$6.00	$3.86
81003 Automated urinalysis test	30	26	$3.40	$2.20
71046 X-ray of chest, 2 views	22	22	$40.00	$37.48
G0442 Annual alcohol misuse screening, 5 to 15 minutes	18	18	$24.94	$20.38
99497 Advance care planning, first 30 minutes	17	17	$101.41	$92.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$136.00	$128.03
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$21.00	$18.80
G0444 Annual depression screening, 5 to 15 minutes	12	12	$22.00	$20.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	656	328	$85.00	$45.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	585	247	$140.00	$119.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	584	73	$9.99	$1.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg	441	47	$6.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	421	145	$35.00	$18.68
99213 Established patient office or other outpatient visit, typically 15 minutes	403	193	$115.19	$81.68
J1885 Injection, ketorolac tromethamine, per 15 mg	353	57	$20.00	$0.54
82947 Blood glucose (sugar) level	330	131	$30.00	$4.28
J0696 Injection, ceftriaxone sodium, per 250 mg	305	72	$15.00	$0.54
81003 Automated urinalysis test	165	127	$15.00	$2.44
71046 X-ray of chest, 2 views	98	93	$100.00	$35.85
G0442 Annual alcohol misuse screening, 5 to 15 minutes	80	80	$75.00	$20.22
99497 Advance care planning, first 30 minutes	80	77	$140.00	$91.40
93000 Routine ekg using at least 12 leads including interpretation and report	66	62	$99.00	$18.83
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	59	47	$75.00	$27.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$160.00	$127.83
76700 Ultrasound of abdomen	56	50	$450.00	$138.75
J0690 Injection, cefazolin sodium, 500 mg	50	24	$25.00	$0.85
76856 Complete ultrasound scan of pelvis	40	39	$420.00	$104.50
72100 X-ray of lower and sacral spine, 2-3 views	35	34	$153.00	$41.65
G0444 Annual depression screening, 5 to 15 minutes	35	35	$75.00	$20.22
94640 Inhalation treatment for airway obstruction or sputum production	31	20	$45.00	$21.16
36415 Insertion of needle into vein for collection of blood sample	23	23	$15.00	$2.94
73560 X-ray of knee, 1-2 views	21	12	$117.00	$36.93
73030 X-ray of shoulder, minimum of 2 views	21	18	$126.00	$34.33
G0008 Administration of influenza virus vaccine	17	17	$45.00	$18.58
72040 X-ray of upper spine, 2-3 views	17	17	$144.00	$41.65
73562 X-ray of knee, 3 views	16	12	$132.00	$42.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$230.00	$187.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$240.00	$179.17
90756 Vaccine for influenza for injection into muscle	15	15	$30.00	$26.13
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	11	$425.00	$214.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,018	95	$10.00	$1.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	622	275	$140.00	$114.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	545	159	$34.99	$22.43
J1885 Injection, ketorolac tromethamine, per 15 mg	508	68	$20.00	$0.57
J0696 Injection, ceftriaxone sodium, per 250 mg	499	80	$15.00	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	432	208	$115.00	$77.44
36415 Insertion of needle into vein for collection of blood sample	338	235	$15.00	$2.94
81003 Automated urinalysis test	304	210	$15.00	$2.71
82947 Blood glucose (sugar) level	217	112	$30.00	$4.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg	216	29	$6.00	$0.12
93000 Routine ekg using at least 12 leads including interpretation and report	140	126	$99.00	$18.12
71046 X-ray of chest, 2 views	131	128	$100.00	$33.35
76856 Complete ultrasound scan of pelvis	105	102	$420.00	$94.94
76700 Ultrasound of abdomen	87	86	$450.00	$136.12
J0690 Injection, cefazolin sodium, 500 mg	81	36	$25.06	$0.86
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	81	66	$75.00	$26.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$151.14	$123.71
G0444 Annual depression screening, 5 to 15 minutes	66	66	$75.00	$19.38
94640 Inhalation treatment for airway obstruction or sputum production	48	33	$45.00	$21.15
73562 X-ray of knee, 3 views	43	27	$132.00	$39.48
76770 Complete ultrasound scan behind abdominal cavity	39	38	$480.00	$111.68
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	36	35	$50.00	$17.70
G0008 Administration of influenza virus vaccine	36	35	$35.00	$23.13
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$153.00	$38.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$240.00	$173.44
G0009 Administration of pneumococcal vaccine	25	25	$45.00	$23.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$214.00	$180.71
73030 X-ray of shoulder, minimum of 2 views	19	18	$126.00	$32.30
90670 Pneumococcal vaccine for injection into muscle	18	18	$226.39	$192.18
73630 X-ray of foot, minimum of 3 views	18	12	$120.00	$32.29
69209 Removal of impacted ear wax by washing	15	13	$125.00	$19.15
72040 X-ray of upper spine, 2-3 views	15	15	$144.00	$36.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$350.00	$64.70
74018 X-ray of abdomen, 1 view	13	13	$114.00	$29.83
76536 Ultrasound of head and neck	12	11	$370.00	$130.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$250.00	$175.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$75.00	$19.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	648	72	$10.02	$1.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	440	144	$35.00	$28.89
99213 Established patient office or other outpatient visit, typically 15 minutes	440	241	$115.00	$80.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	226	$140.00	$117.43
J1885 Injection, ketorolac tromethamine, per 15 mg	372	56	$19.95	$0.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	305	47	$6.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	277	52	$20.52	$0.63
36415 Insertion of needle into vein for collection of blood sample	261	190	$15.00	$2.94
81003 Automated urinalysis test	235	171	$15.00	$3.02
82947 Blood glucose (sugar) level	220	117	$30.00	$5.28
J0690 Injection, cefazolin sodium, 500 mg	179	63	$25.17	$0.92
93000 Routine ekg using at least 12 leads including interpretation and report	120	104	$99.00	$18.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$140.00	$127.13
71020 X-ray of chest, 2 views, front and side	56	55	$100.00	$31.51
G0444 Annual depression screening, 5 to 15 minutes	53	53	$75.00	$20.07
94640 Inhalation treatment for airway obstruction or sputum production	40	30	$45.00	$21.34
76700 Ultrasound of abdomen	38	36	$450.00	$139.57
76856 Complete ultrasound scan of pelvis	38	37	$420.00	$98.13
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	31	31	$75.00	$27.69
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$188.00	$184.24
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$153.00	$39.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$240.00	$178.35
73562 X-ray of knee, 3 views	19	12	$132.00	$40.69
76770 Complete ultrasound scan behind abdominal cavity	15	15	$480.00	$104.18
73130 X-ray of hand, minimum of 3 views	14	11	$120.00	$35.04
73030 X-ray of shoulder, minimum of 2 views	14	11	$126.00	$32.82
G0008 Administration of influenza virus vaccine	12	12	$39.17	$28.74
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$425.00	$222.36
G0009 Administration of pneumococcal vaccine	11	11	$45.00	$28.74
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$250.00	$180.87

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G27756

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Jonathan Drysdale , MD

General Practice

NPI 1043444854

Doctor of Medicine (M.D.)

Dr. Mario Kohan , MD

General Practice

NPI 1184790305

Doctor of Medicine (M.D.)

Dr. Carmencita Llado , MD

General Practice

NPI 1205903317

Doctor of Medicine (M.D.)

Rosa Larrach , RN

Registered Nurse - Diabetes Educator

NPI 1326619214

Registered Nurse

Sonia Patel , NP

Nurse Practitioner

NPI 1467150524

Nurse Practitioner

Dr. Meir Yaron , MD

Internal Medicine - Cardiovascular Disease

NPI 1528136447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated June 05, 2024

Record deactivated on June 05, 2024

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2208 W 7TH ST, LOS ANGELES, CA 900574002 (Tel: 2133843434)

📍

Updated Business Mailing Address July 09, 2007

Registered at PO BOX 10432, BEVERLY HILLS, CA 902133432 (Tel: 2136372530)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MARK JOHNSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #G27756 in CA)

🟢

Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730255944

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 28, 2006

Last Update: July 09, 2007

Deactivation Date: June 05, 2024

Update or Correct Profile

Mailing Address

Po Box 10432

Beverly Hills, CA 902133432

Phone: 2136372530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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