Individual provider · Type 1 NPI
Ivy M. Johnson, PA-C
Surgical Physician Assistant · Irvine, CA
NPI number
1962553628
Active
Practice location
113 Waterworks Way Ste 240
Irvine, CA 92618-3175
Fax (949) 528-3969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA15987 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA 15987 (CA) |
Surgical Physician Assistant: Definition to come...
7 other providers at this address
- Align Spine CenterOrthopaedic Surgery Physician Irvine, CA NPI 1689146946
- Eric Lon Lin, MDOrthopaedic Surgery of the Spine Physician Irvine, CA NPI 1053510099
- Farnoosh Nadalizadeh, PA-CPhysician Assistant Irvine, CA NPI 1619665189
- Genevieve Luarca, NP-CNurse Practitioner Irvine, CA NPI 1134772973
- Ketan Patel, MDPain Medicine Physician Irvine, CA NPI 1316320864
- Raed Ali, MDOrthopaedic Surgery Physician Irvine, CA NPI 1891795449
- Tennille Greenfield, PA-CSurgical Physician Assistant Irvine, CA NPI 1265640734
Other surgical physician assistant providers in Irvine
- Beatriz Simons, PASurgical Physician Assistant Irvine, CA NPI 1134537871
- Cindy Williams, P.A.Surgical Physician Assistant Irvine, CA NPI 1144500968
- Tennille Greenfield, PA-CSurgical Physician Assistant Irvine, CA NPI 1265640734
- Tracy Melinda Arsenault, PA-CSurgical Physician Assistant Irvine, CA NPI 1497056824
- Evangeline Rose Robertshaw, PA-CSurgical Physician Assistant Irvine, CA NPI 1902629785
About NPI 1962553628
Ivy M. Johnson, PA-C's National Provider Identifier is 1962553628, issued on Jan 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Irvine, CA. The record was last updated on Jun 17, 2026.