Malieka Trinee Johnson, DDS - Medicare Dentist in San Diego, CA

Malieka Trinee Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in San Diego, California. Her current practice location is 4784 Muir Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 518-9000.

Malieka Trinee Johnson is licensed to practice in California (license number 61342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003161969.

Contact Information

Malieka Trinee Johnson, DDS
4784 Muir Ave,
San Diego, CA 92107-2218
(619) 518-9000
Not Available



Healthcare Provider's Profile

Full NameMalieka Trinee Johnson
GenderFemale
SpecialityDentist - General Practice
Location4784 Muir Ave, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003161969
  • Provider Enumeration Date: 07/17/2012
  • Last Update Date: 08/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4587972922
  • Enrollment ID: I20151005000290

Medical Identifiers

Medical identifiers for Malieka Trinee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003161969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 61342 (California)Primary
1223D0001XDentist - Dental Public Health 61342 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malieka Trinee Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Malieka Trinee Johnson, DDS
Po Box 881496,
San Diego, CA 92168-1496

Ph: (619) 518-9000
Malieka Trinee Johnson, DDS
4784 Muir Ave,
San Diego, CA 92107-2218

Ph: (619) 518-9000

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› Verified 1 days ago


Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126
Phone: 858-722-6332    Fax: 888-514-1239
Dr. Sandra Beth Hunter, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3177 Ocean View Blvd, San Diego, CA 92113
Phone: 619-231-9300    
Dr. Keri Eileen Silva, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110
Phone: 619-294-3273    Fax: 619-294-7170
Ghassan Adnan Jabbar Jayyar, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114
Phone: 619-263-6683    
Dr. Hemamalini Srinivasan, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4921a Clairemont Dr, San Diego, CA 92117
Phone: 858-272-7300    Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117
Phone: 858-581-3641    Fax: 858-581-6135

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