Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew W Johnson, MMS, PA-C

Individual provider Physician Assistant · NPI 1730778978

Andrew W Johnson, MMS, PA-C is a Physician Assistant in Costa Mesa, California. Qualified in 2021, 5 years ago. Practices with Pacific Neuropsychiatric Specialists Inc, a 71-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624
Phone: (714) 545-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 59223 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA59223 (CA)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1730778978
Entity typeIndividual (Type 1)
GenderMale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pacific Neuropsychiatric Specialists Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Costa Mesa