Individual provider · Type 1 NPI

Andrew W. Johnson, MMS, PA-C

Medical Physician Assistant · Costa Mesa, CA

NPI number 1730778978 Active

Practice location

3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624

Call (714) 545-5550 Map

Mailing address

341 Monte Vista Ave
Costa Mesa, CA 92627-1460

Other practice locations

  • 3828 Delmas Ter, Culver City, CA 90232-2713 · (619) 756-4112
  • 125 Baker St Unit 172, Costa Mesa, CA 92626-4556 · (619) 756-4112

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA59223 (CA)
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700X59223 (CA)

Medical Physician Assistant: Definition to come...

17 other providers at this address

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About NPI 1730778978

Andrew W. Johnson, MMS, PA-C's National Provider Identifier is 1730778978, issued on Jan 12, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Jan 8, 2025.