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

Bryan Reuben Johnson, PA-C

Individual provider Physician Assistant · NPI 1316438807

Bryan Reuben Johnson, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Somagen Healthcare Inc, a 54-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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

1700 E Cesar Chavez Ave Ste 2500
Los Angeles, CA 90033-9003
Phone: (323) 328-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1316438807
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESAugust 24, 2022
Certification dateAugust 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Somagen Healthcare Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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