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

Individual provider Psychiatry Physician · NPI 1154512036

Dr. Jevon Jamahl Johnson, MD is a Psychiatry in Modesto, California. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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

1878 E Hatch Rd
Modesto, CA 95351-5002
Phone: (916) 825-8847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A101110 (CA)

Record details

NPI number1154512036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESMay 10, 2025
Certification dateMay 10, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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