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

Gary Andrew Johanson, MD

Individual provider Family Medicine Physician · NPI 1215043229

Gary Andrew Johanson, MD is a Family Medicine Physician in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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

500 Doyle Park Dr Ste G04
Santa Rosa, CA 95405-4558
Phone: (707) 573-8984
Fax: (707) 573-0982
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Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence G32438 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G32438 (CA)

Record details

NPI number1215043229
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

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