Alyssa Johnston Registered Nursing, Inc.
NPI 1740922640ActiveOrganization· Family Medicine· Roseville, CA
Family Medicine in Roseville, California, registered in NPPES in April 2022. The authorized official on file is Jacob Sung Keum, MD, Attending Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740922640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2022 |
| Last updated in NPPES | Apr 20, 2022 |
| Certified by provider | Apr 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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