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

Individual provider Pediatrics Physician · NPI 1548261373

Gina Marie Johnson, MD is a Pediatric Medicine in San Fernando, California. Graduated from University of California, Geffen School of Medicine in 2000, 26 years ago. Practices with Northeast Valley Health Corporation, a 76-clinician group. Licensed in California.

Years since qualifying
26
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2005
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

1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone: (818) 365-8086
Fax: (818) 898-4826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A71252 (CA)

Record details

NPI number1548261373
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Northeast Valley Health Corporation — 76 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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