Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Johanes Martin Ismawan, MD

Individual provider Anesthesiology Physician · NPI 1326275975

Dr. Johanes Martin Ismawan, MD is an Anesthesiology Physician in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Naval Medical Center San Diego 34800 Bob Wilson Dr
San Diego, CA 92134
Phone: (619) 385-3683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 — (619) 532-8038

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A113980 (CA)

Record details

NPI number1326275975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023

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