Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730162892 Individual Practitioner Male Practitioner

Dr. Millard E. Johnson , MD

Pediatrics • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Millard Johnson, MD is a registered healthcare professional specializing in Pediatrics in Modesto, CA. Practice services are available at 1510 FLORIDA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1510 Florida Ave
Suite F

Modesto, CA 953504437

Telephone 2095497090
Fax 2095497099
Associated Practice Facility / Clinic
🏢 Golden Valley Health Center Facility NPI 1033193610

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
77 Specialists

Practicing in Modesto, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A62787

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Board Cert #
061924 (CA)
Commercial Insurance / Payer ID Blue Shield Of Ca Pin
00A627870 (CA)

Practice Associates & Co-Workers

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

10 Associated Practitioners
NPI 1215289780

Nurse Practitioner

NPI 1265750129

Doctor of Medicine (M.D.)

NPI 1487763579

Doctor of Medicine (M.D.)

NPI 1598029647

Doctor of Medicine (M.D.)

NPI 1609251925

Doctor of Medicine (M.D.)

NPI 1609858182

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2012

Registered at 1510 FLORIDA AVE, SUITE F, MODESTO, CA 953504437 (Tel: 2095497090)

📍
Updated Business Mailing Address January 03, 2012

Registered at 737 W CHILDS AVE, MERCED, CA 953406805 (Tel: 2093855529)

👤
Provider Name / Credentials Updated January 03, 2012

Recorded as MILLARD JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2012

Pediatrics (License #A62787 in CA)

🟢
Initial NPI Registration & Enumeration November 22, 2005

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: 1730162892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

737 W Childs Ave

Merced, CA 953406805

Phone: 2093855529

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.