Organization Active NPI

Susan Johnson MD PC

  • Primary Care Clinic/Center
  • Malibu, CA
National Provider Identifier
1699635623
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUSAN JOHNSON MD PC
Practice address
7018 Fernhill Dr
Malibu, CA 90265-4241
Phone
(310) 497-6547
Fax
(310) 858-4129
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Susan Johnson, MDNPI 1942364427
Title
Ceo/President
Phone
(310) 497-6547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7018 Fernhill Dr
Malibu, CA 90265-4241

Mailing address

29160 Heathercliff Rd # 4054
Malibu, CA 90265-6315
Phone (310) 497-6547

National Provider Directory

National Provider Directory

Locations

29160 Heathercliff Rd
#4054
Malibu, CA 90265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1699635623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 HEATHERCLIFF RD # 4054",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902656315",
            "telephone_number": "310-497-6547",
            "fax_number": "310-858-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 FERNHILL DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654241",
            "telephone_number": "310-497-6547",
            "fax_number": "310-858-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-497-6547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.