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

Dr. Walter Kip Johnson, MD

Individual provider General Practice Physician · NPI 1780919282

Dr. Walter Kip Johnson, MD is a General Practice in Ione, California. Qualified in 1975, 51 years ago. Practices with M a C T Health Board Incorporated, a 25-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
51
Licensed in
CA
In the registry since
2009
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

305 Preston Ave
Ione, CA 95640-9158
Phone: (209) 742-6144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12140 New York Ranch Rd, Jackson, CA 95642-9407 — (209) 257-2400

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G32232 (CA)

Record details

NPI number1780919282
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 16, 2009
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing addressPo Box 939, Angels Camp, CA 95222-0939

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice M A C T Health Board Incorporated — 25 clinicians
Accepts Medicare assignment Not indicated

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