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

Derek Johnson, DO

Individual provider Family Medicine Physician · NPI 1407876063

Derek Johnson, DO is a Family Practice in Brentwood, California. Qualified in 2001, 25 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

350 John Muir Pkwy Ste 105
Brentwood, CA 94513-5183
Phone: (925) 513-2483
Fax: (925) 513-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 San Pablo Ave, Albany, CA 94706-1103 — (510) 204-8130
  • 4053 Lone Tree Way Ste 101, Antioch, CA 94531-6210 — (925) 756-3400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A8220 (CA)

Record details

NPI number1407876063
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMarch 7, 2023
Mailing address2350 W El Camino Real Fl 2, Mountain View, CA 94040-6203

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations19 on file with Medicare

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