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

Blair R Johnson, PA

Individual provider Physician Assistant · NPI 1124082292

Blair R Johnson, PA is a Physician Assistant in Covina, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

420 W Rowland St
Covina, CA 91723-2943
Phone: (626) 331-6411
Fax: (626) 251-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA11436 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA11436 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA11436 (CA)

Record details

NPI number1124082292
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020
Mailing address420 W Rowland St, Covina, CA 91723-2943

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