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

Kirk A Johnson, PA

Individual provider Physician Assistant · NPI 1700086949

Kirk A Johnson, PA is a Physician Assistant in Fresno, California. Qualified in 2007, 19 years ago. Practices with Community Foundation Medical Group, a 284-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1630 E Herndon Ave
Fresno, CA 93720-3305
Phone: (559) 256-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 19261 (CA)

Record details

NPI number1700086949
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESMay 6, 2008
Mailing address1630 E Herndon Ave, Fresno, CA 93720-3305

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Community Foundation Medical Group — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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