COLLEEN ANN JOHNSON (MD) – Emergency Medicine Physician, NPI 1720079049

COLLEEN ANN JOHNSON (MD) is a healthcare provider. based in Pleasanton, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A81584 (CA). The NPI Number for COLLEEN ANN JOHNSON (MD) is 1720079049

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN ANN JOHNSON (MD)
NPI
1720079049
Phone
(209) 342-2300
Address
5555 W LAS POSITAS BLVD
Enumeration Date
4 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9254793773
Graduation Year
2001 (25 years ago)
PAC ID
6800841370
Group Practice PAC ID
0143118927
Professional Enrollment ID
I20050317000283
Address ID
CA945683180DU4000XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Loading map...

Provider Addresses for COLLEEN ANN JOHNSON (MD)

  • ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States

    PLEASANTON, CA 945884000

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Location

  • 4301 NORTH STAR WAY

    MODESTO, CA 95356

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050317000283IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making196190$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only154150$0
99284Emergency department visit with moderate level of medical decision making6363$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5756$0
99291Critical care, first 30-74 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 94588)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143118927View full group profile
NameSpecialtyState
Emergency MedicineCA
Physician AssistantCO
-CA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm COLLEEN ANN JOHNSON (MD)'s NPI?
Yes. COLLEEN ANN JOHNSON (MD) is listed with NPI 1720079049 in the public NPI dataset.
Can I rely on COLLEEN ANN JOHNSON (MD) being an active provider?
As of the registry snapshot, COLLEEN ANN JOHNSON (MD) is marked active.
What taxonomy line describes COLLEEN ANN JOHNSON (MD)?
For research purposes, treat COLLEEN ANN JOHNSON (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is COLLEEN ANN JOHNSON (MD) based?
COLLEEN ANN JOHNSON (MD) is tied to Pleasanton, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

ROBERT LOUIS MANDIBERG

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1336130640

DR. DENNIS KEITH ALFARO (M.D.)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1407847718

GERALD ROY NAZARENO (MD)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1679564983

MICHAEL JOHN COSTELLO (MD)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1477544781

PAUL DAVID CHASIN (MD)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1649261959

CYNTHIA SUE PENN-DUECKER (MD)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1033100359

PLEASANTON EMERGENCY MEDICAL GROUP

Emergency Medicine Physician
San Dimas Post Office, 300, East Bonita Avenue, San Dimas, Los Angeles County, California, 91773, United States
NPI: 1285625509

HOWARD DANIEL YOSHIOKA (MD)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1992796221

SCOTT GREGORY SEIDMAN (MD)

Emergency Medicine Physician
ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States
NPI: 1184605230