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

Individual provider Physician Assistant · NPI 1689862450

Autumn Marie Johnson, PA-C is a Physician Assistant in San Diego, California. Qualified in 2007, 19 years ago. Practices with Scripps Health, a 1,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
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

7910 Frost St Ste 100
San Diego, CA 92123-2771
Phone: (858) 634-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4318 Mission Ave, Oceanside, CA 92057-6541 — (858) 554-7439

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA51290 (CA)

Record details

NPI number1689862450
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2007
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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