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

Dr. Samuel Timothy Johnson, AUD

Individual provider Audiologist-Hearing Aid Fitter · NPI 1790455947

Dr. Samuel Timothy Johnson, AUD is a Qualified Audiologist in Walnut Creek, California. Graduated from Pennsylvania College of Optometry in 2021, 5 years ago. Accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
5
Trained at
Pennsylvania College of Optometry
Licensed in
CA, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

1900 Olympic Blvd Ste 202
Walnut Creek, CA 94596-5094
Phone: (707) 494-4328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist-Hearing Aid Fitter (primary) Taxonomy 237600000X · Licence AU3617 (CA)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence LD61186783 (WA)

Record details

NPI number1790455947
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorNo
NPI enumeratedSeptember 19, 2021
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address1900 Olympic Blvd Ste 202, Walnut Creek, CA 94596-5094

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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