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

Daniel O. Johansen, MD

Individual provider Orthopaedic Surgery Physician · NPI 1942734348

Daniel O. Johansen, MD is an Orthopedic Surgery in Salt Lake City, Utah. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
Specialties on file
2
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

590 S Wakara Way Dept OF
Salt Lake City, UT 84108-1200
Phone: (801) 587-5448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 757 Westwood Plz, Los Angeles, CA 90095-7419 — (310) 794-4315

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 12817266-1205 (UT)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 12817266-1205 (UT)

Record details

NPI number1942734348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESOctober 27, 2023
Certification dateAugust 2, 2022

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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