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

Kevin Johansen, MD

Individual provider Family Medicine Physician · NPI 1487235305

Kevin Johansen, MD is a Family Practice in Truckee, California. Qualified in 2021, 5 years ago. Practices with Tahoe Forest Hospital District, a 142-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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

10121 Pine Ave
Truckee, CA 96161-4856
Phone: (775) 284-9155
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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 200188 (CA)

Record details

NPI number1487235305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address10121 Pine Ave, Truckee, CA 96161-4835

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tahoe Forest Hospital District — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Truckee