Frederick L. Johnson, M.D.
NPI 1104983360ActiveIndividual· Anesthesiology· Lakeport, CA
Anesthesiology (M.D.) with Core Anesthesia Provider Services PC and 1 other group, practicing in Lakeport, California. Medicare paid $36,026 for services to 249 patients in 2024.
Overview
| NPI | 1104983360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | May 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | A556180 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 249 |
|---|---|
| Services billed | 263 across 40 procedure codes |
| Paid by Medicare | $36,026 |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical groups
- Core Anesthesia Provider Services PCStockton, CA · 10 clinicians
- Core Anesthesia Services PCStockton, CA · 9 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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