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

Dr. Gary Ronald Johnson, MD

Individual provider General Practice Physician · NPI 1114013513

Dr. Gary Ronald Johnson, MD is a General Practice in San Andreas, California. Graduated from University of California, San Diego School of Medicine in 1973, 53 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
53
Trained at
University of California, San Diego School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

588 W St.charles St
San Andreas, CA 95249
Phone: (209) 754-1851
Fax: (209) 754-0231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G27755 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G27755 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence G27755 (CA)

Record details

NPI number1114013513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare