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

Dr. Maxwell Bates Johnson, MD, MS

Individual provider Plastic Surgery Physician · NPI 1568903888

Dr. Maxwell Bates Johnson, MD, MS is a Plastic and Reconstructive Surgery in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2017, 9 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1510 San Pablo St Ste 415
Los Angeles, CA 90033-5403
Phone: (323) 442-7903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A159221 (CA)

Record details

NPI number1568903888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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