Individual provider Active NPI

Victoria Michelle Johnson

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1194303966
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A23126 Issued in CA
Practice address
501 J St
Sacramento, CA 95814-2325
Phone
(916) 497-3019
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 21-1172 NC
Family Medicine Physician 207Q00000X 20A23126 CA Primary

Addresses

Primary practice location

501 J St
Sacramento, CA 95814-2325

Mailing address

786 Sun Bonnet CT
Rocklin, CA 95765-5352
Phone (916) 886-0410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809003960 CA Practitioner - Family Practice 9830637784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Centers, Inc.Group PAC ID 8426968520, 47 clinicians

Practice addresses (Care Compare)

131 W a St
Dixon, CA 95620-3437
Phone (707) 635-1600

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A23126CAMDFamily Medicine Physician
21-1172NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers Inc CurrentSince Aug 18, 2025 Accepting new patients
Ole Health CurrentSince Aug 1, 2024 Accepting new patients
Ole Health Current Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jul 1, 2025 Accepting new patients
Community Medical Centers, Inc CurrentSince Aug 18, 2025 Accepting new patients
Ole Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

131 W A St
Ste 3
Dixon, CA 95620
Phone (707) 635-1600

131 W A St
Ste 1
Dixon, CA 95620
Phone (707) 635-1600

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: vjohnson825091@direct.ochin.org

Organizations & group practices 7

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1194303966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 SUN BONNET CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655352",
            "telephone_number": "916-886-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142325",
            "telephone_number": "916-497-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "21-1172",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A23126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.