Individual provider Active NPI

Gunnar Johnson

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1770251993
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62215 Issued in CA
Practice address
1454 Lachona CT NE
Atlanta, GA 30329-3411
Phone
(650) 678-9107
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 PA62215 CA Primary

Addresses

Primary practice location

1454 Lachona CT NE
Atlanta, GA 30329-3411

Mailing address

1454 Lachona CT NE
Atlanta, GA 30329-3411

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
I20230327002213 CA Practitioner - Physician Assistant 3971977380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1390 El Paseo de Saratoga
Suite 1390
San Jose, CA 95130-1632
Phone (408) 533-0345

1706 El Camino Real
Suite 101
Menlo Park, CA 94027-4127
Phone (510) 818-7230

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

5120 Cherry Ave
Suite 20
San Jose, CA 95118-3786
Phone (408) 780-2532

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA62215CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Apr 1, 2023 Accepting new patients
Cep America-California CurrentSince Apr 1, 2023 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Nov 1, 2025 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Nov 1, 2025 Accepting new patients
Cep America - California CurrentSince Apr 1, 2023 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400

11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1770251993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 LACHONA CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 LACHONA CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293411",
            "telephone_number": "650-678-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GUNNAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.