Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Jeannine Johnson

Individual provider Physician Assistant · NPI 1164043808

Amy Jeannine Johnson is a Physician Assistant in Stanford, California. Qualified in 2020, 6 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020

Practice location Address checks out

300 Pasteur Dr Rm A32
Stanford, CA 94305-2200
Phone: (650) 725-5227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5525 Grossmont Center Dr Ste 602, La Mesa, CA 91942-3009 — (619) 740-4720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58633 (CA)

Record details

NPI number1164043808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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