Individual provider · Type 1 NPI
Anthony Johnson
Medical Physician Assistant · Gridley, CA
NPI number
1205690310
Active
Practice location
240 Spruce St, Gridley
Gridley, CA 95948
Mailing address
435 Virginia St Apt A
Gridley, CA 95948-3043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Gridley
About NPI 1205690310
Anthony Johnson's National Provider Identifier is 1205690310, issued on Feb 8, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gridley, CA. The record was last updated on May 18, 2026.