NPIMap

Individual provider Active NPI

John Benjamin Degraft-Johnson, M.D.,

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Modesto, CA
National Provider Identifier
1043472871
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A104894 Issued in CA
Practice address
1541 Florida Ave Ste 305
Modesto, CA 95350-4439
Phone
(209) 575-5836
Fax
(209) 577-1040
NPI assigned
Jul 2, 2008
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X PENDING CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A104894 CA Primary

Addresses

Primary practice location

1541 Florida Ave Ste 305
Modesto, CA 95350-4439

Mailing address

1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone (209) 575-5836

Other practice location 1

7373 West Ln
Stockton, CA 95210-3377
Phone (209) 476-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000639 CA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 4587810619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1801 Colorado Ave
Suite 250
Turlock, CA 95382-2710
Phone (209) 647-3950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)20
Upper gastrointestinal (GI) endoscopy for acid reflux20
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PENDINGCAMDDentist
A104894CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
First Choice Physician Partners CurrentSince Jun 5, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 30, 2012 Accepting new patients
San Diego Cardiovascular and Thoracic Surgeons, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 3, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Jun 30, 2012 Accepting new patients
First Choice Physician Partners CurrentSince Jun 5, 2018 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Memorial Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
First Choice Physician Partners Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1234 E North St
Ste 102
Manteca, CA 95336
Phone (209) 647-7280

1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101

1262 E North St
Manteca, CA 95336
Phone (209) 823-7646

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1541 Florida Ave
Modesto, CA 95350
Phone (209) 575-5833

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 103
Modesto, CA 95350
Phone (209) 572-1200

1541 Florida Ave
Ste 304
Modesto, CA 95350
Phone (209) 576-3832

1541 Florida Ave
Ste 305
Modesto, CA 95350
Phone (209) 575-5833

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

8008 Frost St
Ste 300
San Diego, CA 92123
Phone (858) 939-7471

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1801 Colorado Ave
Ste 250
Turlock, CA 95382
Phone (209) 216-3500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: john.degraft-johnson.1@14035.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1043472871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-575-5836",
            "fax_number": "209-577-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 305",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504439",
            "telephone_number": "209-575-5836",
            "fax_number": "209-577-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 West Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952103377",
            "country_code": "US",
            "telephone_number": "209-476-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGRAFT-JOHNSON",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A104894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.