Individual provider Active NPI

Robert Lawrence Johnson, PA-C

  • Physician Assistant
  • Yuba City, CA
National Provider Identifier
1760426399
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13091 Issued in CA
Practice address
480 Plumas Blvd
Yuba City, CA 95991-5005
Phone
(530) 749-4340
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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 PA13091 CA Primary

Addresses

Primary practice location

480 Plumas Blvd
Yuba City, CA 95991-5005

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000286 CA Practitioner - Physician Assistant 2567426711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2081 Bronze Star Dr
Woodland, CA 95776-5423
Phone (530) 668-2600

2800 L St
Sacramento, CA 95816-5616

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13091CAMDProfessional Counselor
PA13091CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince May 26, 2013 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 1, 2022 Accepting new patients
Dignity Community Care Past Accepting new patients
Rideout Memorial Hospital Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2020 Sutter Pl
Ste 101
Davis, CA 95616
Phone (530) 750-5830

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1201 Alhambra Blvd
Ste 400
Sacramento, CA 95816
Phone (916) 733-5090

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

2081 Bronze Star Dr
Woodland, CA 95776
Phone (530) 668-2600

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

1207 Fairchild Ct
Woodland, CA 95695
Phone (530) 406-2900

444 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3420

969 Plumas St
Ste 103
Yuba City, CA 95991
Phone (530) 749-3500

480 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3500

Interoperability endpoints

  • Direct secure messaging: rjohnsonpa10707@hisp.ehr.sutterhealth.org

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.

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1760426399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PLUMAS BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915005",
            "telephone_number": "530-749-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.