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

Jack W Johnson, MD

Individual provider Psychiatry Physician · NPI 1548332570

Jack W Johnson, MD is a Psychiatry Physician in Garden Grove, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

12377 Lewis St Ste #104
Garden Grove, CA 92840-4691
Phone: (714) 703-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G21314 (CA)

Record details

NPI number1548332570
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 8, 2007

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