Evan Johnson, DO

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

20A24766 Issued in CA

Practice address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202

Phone

(760) 773-4545

NPI assigned

May 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Orthopedic Surgeons, P.a.

  • Orthopaedic Surgery Physician
  • North Kansas City, MO
  • NPI 1841264835

  Adult Reconstructive Orthopaedic Surgery

  Medicare reassignment NPD
• Orthopedic Surgeons, P.a.

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1578370565
  NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1922681220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74699 TECHNOLOGY DR APT 10210",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115825",
            "telephone_number": "320-250-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703202",
            "telephone_number": "760-773-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "20A24766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hodgkinson, Inc.
• John J Lee MD a Professional Corporation
• John R Faulkner Medical Doctor PC Inc
• John W Samples, MD,, a Professional Corporation
• Amanda Farnham Johnson
• Robert Sherman Johnson, D.D.S.
• Diane Johnston, MFT
• Lily-Jean Jomok
• Jonathan C Lin M D Medical Corporation
• Bradley Stewart Jones, DPT

• Adult Reconstructive Orthopaedic Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.

Verify at the official NPI Registry.