Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619208600 Deactivated / Inactive NPI Male Practitioner

Andrew Johnson , CPT-I, EMT-B

Emergency Medical Technician, Basic • Oakland, 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, Andrew Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 15, 2010
NPI Deactivation Date January 18, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Andrew Johnson, CPT-I, EMT-B was a registered Emergency Medical Technician, Basic practicing in Oakland, CA. Throughout an active medical career spanning 13 years, Andrew Johnson provided care at the practice location at 5452 BANCROFT AVE until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

5452 Bancroft Ave
Apt 105

Oakland, CA 946015839

Telephone 5104367481

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medical Technician, Basic in Oakland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Oakland, CA (238 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

Emergency Medical Technician, Basic Primary Specialty

NUCC Taxonomy Code: 146N00000X

State License CA ALAMEDA CNTY 07-7047

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active January 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2010

Registered at 5452 BANCROFT AVE, APT 105, OAKLAND, CA 946015839 (Tel: 5104367481)

📍
Updated Business Mailing Address January 15, 2010

Registered at 5452 BANCROFT AVE, APT 105, OAKLAND, CA 946015839 (Tel: 5104367481)

👤
Provider Name / Credentials Updated January 15, 2010

Recorded as ANDREW JOHNSON, CPT-I, EMT-B

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2010

Emergency Medical Technician, Basic (License #ALAMEDA CNTY 07-7047 in CA)

🟢
Initial NPI Registration & Enumeration January 15, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Andrew Johnson. Be the first to share your experience!

Sign in to leave a review for Andrew Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619208600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2010
Last Update: January 15, 2010
Deactivation Date: January 18, 2023

Mailing Address

5452 Bancroft Ave, Apt 105

Oakland, CA 946015839

Phone: 5104367481

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.