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

Axeline Janicke Maisonet Johnson, MD

Individual provider Psychiatry Physician · NPI 1649776899

Axeline Janicke Maisonet Johnson, MD is a Psychiatry in Riverside, California. Graduated from University of California, Geffen School of Medicine in 2018, 8 years ago. Works from 2 locations. Licensed in California, Pennsylvania and Texas.

Years since qualifying
8
Trained at
University of California, Geffen School of Medicine
Licensed in
CA, PA, TX
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4371 Latham St Ste 200
Riverside, CA 92501-1731
Phone: (833) 867-4642
Show map & directions

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

Additional practice locations (1)

  • 929 Gessner Rd Ste 2600, Houston, TX 77024-2593 — (713) 222-2273

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A179054 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence W2736 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD470729 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649776899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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