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

Breanna Johnson

Individual provider Nurse Practitioner · NPI 1760077093

Breanna Johnson is a Nurse Practitioner in Riverside, California. Qualified in 2019, 7 years ago. Practices with Atlas Medical ACO LLC, a 51-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 788-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95016797 (CA)

Record details

NPI number1760077093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address4222 E Brown Rd Unit 13, Mesa, AZ 85205-4056

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Atlas Medical Aco Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverside