Active NPI
Jeremy M Johnson, PA
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 333 1St St Ste a
San Francisco, CA 94105-2661 - Phone
- (888) 803-3370
- NPI assigned
- Jan 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
333 1St St Ste a
San Francisco, CA 94105-2661
Mailing address
436 Oneida St
Pittsburgh, PA 15211-1220
Other practice location 1
375 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361
Phone (805) 497-7015
Other practice location 2
2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone (888) 803-3370
Other practice location 3
2815 S Main St Ste 210
Corona, CA 92882-2533
Phone (951) 735-9211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53153 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Medical Care Group PA | Current | Accepting new patients | |
| Gracious Minds Counseling and Supervision Inc. | Past | Accepting new patients | |
| Premier Emergency Physicians of California Medical Group PC | Physician Assistant | Past | Accepting new patients |
| Rainbow Basin Emergency Physicians, a Medical Corporation | Physician Assistant | Past | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
Organizations & group practices 8
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134596091
-
- Urgent Care Clinic/Center
- Temecula, CA
- NPI 1922333723
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1225289135
Physician Assistant
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1811148729
Physician Assistant
-
- Clinical Social Worker
- Houston, TX
- NPI 1144867292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1679939342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 ONEIDA ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152111220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 1ST ST STE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941052661",
"telephone_number": "888-803-3370"
}
],
"practiceLocations": [
{
"address_1": "375 Rolling Oaks Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "91361",
"country_code": "US",
"telephone_number": "805-497-7015",
"fax_number": "805-497-7315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Eisenhower Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223144587",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2815 S Main St Ste 210",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928822533",
"country_code": "US",
"telephone_number": "951-735-9211",
"fax_number": "951-735-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JEREMY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-11",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.