Dr. Derrick Anthony Johnson , MD
General Practice • Playa Del Rey, 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. Derrick Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Derrick Johnson, MD was a registered General Practice practicing in Playa Del Rey, CA. Throughout an active medical career spanning 12 years, Dr. Johnson provided care at the practice location at 8700 PERSHING DR until profile deactivation on 2018-06-19.
Practice Location & Contact Primary Location
8700 Pershing Dr
Suite 4313
Playa Del Rey, CA 902938000
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Playa Del Rey, CA
Practicing in Playa Del Rey, CA (2300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2018
NPI status registered as active in NPPES database
Registered at 8700 PERSHING DR, SUITE 4313, PLAYA DEL REY, CA 902938000 (Tel: 3104131889)
Registered at 5750 W 79TH ST, LOS ANGELES, CA 900451759 (Tel: 3104131889)
Recorded as DERRICK JOHNSON, M.D.
General Practice (License #G60418 in CA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
5750 W 79th St
Los Angeles, CA 900451759
Phone: 3104131889
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