Individual provider Active NPI

Madeline Johnson, PA-C

  • Physician Assistant
  • Monterey, CA
National Provider Identifier
1124945191
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9781 Blue Larkspur LN Ste 100
Monterey, CA 93940-6509
Phone
(831) 333-9008
NPI assigned
Jul 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9781 Blue Larkspur LN Ste 100
Monterey, CA 93940-6509

Mailing address

9781 Blue Larkspur LN Ste 100
Monterey, CA 93940-6509
Phone (831) 333-9008

Other practice location 1

114 E Romie Ln
Salinas, CA 93901-3126
Phone (831) 757-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1124945191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9781 BLUE LARKSPUR LN STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406509",
            "telephone_number": "831-333-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 BLUE LARKSPUR LN STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406509",
            "telephone_number": "831-333-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 E Romie Ln",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013126",
            "country_code": "US",
            "telephone_number": "831-757-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.