Jeremy Johnson, PA
NPI 1679939342 · Physician Assistant · San Francisco, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1679939342
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 2815 S Main St Ste 210Corona, CA 92882-2533Phone: (951) 735-9211Fax: (951) 735-6200
- 375 Rolling Oaks Dr Ste 210Thousand Oaks, CA 91361Phone: (805) 497-7015Fax: (805) 497-7315
- 2800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587Phone: (888) 803-3370
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.