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Sarah A Johnson

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

15151 National Ave Ste 1, Los Gatos, CA 95032-2627

PECOS Enrollment

This provider is enrolled in PECOS as SARAH JOHNSON.

Based on the most recent information from CMS, provider Sarah A Johnson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1972009702
Provider Type
Individual
Full Name
Johnson, Sarah A
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/2/2018
Last Updated
9/19/2022

Contact Information

Practice Location

15151 National Ave Ste 1, Los Gatos, CA 95032-2627

(408) 294-8122

Unlisted Fax

Mailing Location

15151 National Ave Ste 1, Los Gatos, CA 95032-2627

(408) 294-8122

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License A165882 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Sarah A Johnson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Marik-Reis, Olivia Marie

Adie, Elizabeth Marie

Fierro, Mark Alan

Bolanos, Jose Raul

Martinez, Eleanor

Obgyn Womens Physicians Association Inc

Pearson, Walter Edward

Duncan, Vicki Lynn

Inukonda, Kirthi Reddy

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