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

Dr. Kendrick Millard Johnson, MD

Individual provider Emergency Medicine Physician · NPI 1780720979

Dr. Kendrick Millard Johnson, MD is an Emergency Medicine in Folsom, California. Graduated from Medical College of Wisconsin in 1993, 33 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Medical College of Wisconsin
Licensed in
CA
In the registry since
2007
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

1650 Creekside Dr
Folsom, CA 95630-3400
Phone: (916) 983-7470
Fax: (916) 983-7540
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G083104 (CA)

Record details

NPI number1780720979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020
Mailing address1650 Creekside Dr, Folsom, CA 95630-3405

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1993 (33 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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