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

Jeremy V Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811374549

Jeremy V Johnson is a Student in an Organized Health Care Education/Training Program in West Sacramento, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

500 Jefferson Blvd Ste B180
West Sacramento, CA 95605-2394
Phone: (916) 403-2900
Fax: (530) 204-5248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A159151 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811374549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2015
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394

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