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Ian Michael Johnson, DC

Chiropractor · Sunnyvale

NPI 1063907715

Medicare standing
3 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Cancelled
  • 2 Medical Board actions on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Johnson’s office at (831) 239-8747 to ask if they take your plan before you enroll.

California Medical Board record

Licence C34216 · Cancelled

Licence status: Cancelled · since 1972 · Wayne State University School of Medicine. Board flags: Admin Action By Other State/Fed Gov'T.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
2020-12-11Action in another state or by a federal agencyDisciplineSummary/emergency/immediate/temporary suspension of medical license. · Washington medical commission
2019-11-07Action in another state or by a federal agencyDisciplineEffective 11/01/18, alaska medical license reprimanded, assessed a fine, and continuing medical education (cme) required. effective 11/07/2019, surrender of medical license. · Alaska state medical board

Professional record

NPI
1063907715
Licence
CA 34216California C34216: Cancelled
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 111N00000X (111N00000X)
Mailing address
1109 Lund Terrace Sunnyvale CA, 94089, Sunnyvale, CA, 94089
NPI first listed
2018-06-26
NPI last updated
2018-06-26

This is when the NPI record was last certified, not a medical board exam.