Jeffrey Kyle Johnson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1714 21St St
Santa Monica, CA 90404-3917

Phone

(310) 908-8859

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073579199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 W CENTINELA AVE",
            "address_2": "APT. 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451599",
            "telephone_number": "310-337-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043917",
            "telephone_number": "310-908-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Johnson
• Eileen Ruth Johnson, PT
• Gadson John Johnson Jr., M.D.
• Gekesha Johnson
• Janette Lynn Johnson, LCSW, MFT
• Jenninfer L Johnson, NP
• Katherine Johnson
• Leslie Shoji Johnson, OTR/L
• Marie Elizabeth Johnson, PSY.D.
• Renee Ann Johnson, MFT

• Athletic Trainer in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.