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

Kyle Eric Johnson, MD

Individual provider Psychiatry Physician · NPI 1033521414

Kyle Eric Johnson, MD is a Psychiatry in Fremont, California. Qualified in 2014, 12 years ago. Practices with Corning Hospital, a 40-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Oregon and West Virginia.

Years since qualifying
12
Licensed in
CA, OR, WV
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone: (510) 248-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 401 Quarry Road, Room 2208, Stanford, CA 94305-5723 — (650) 736-1743
  • 3181 Sw Sam Jackson Park Rd # L5799, Portland, OR 97239-3011 — (503) 494-8211
  • 1230 6th Ave, Huntington, WV 25701-2312 — (304) 526-9111

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A156544 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD182183 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence 29136 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence A156544 (CA)

Record details

NPI number1033521414
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2014
Last updated in NPPESDecember 22, 2021
Certification dateAugust 10, 2021
Mailing address39400 Paseo Padre Pkwy, Fremont, CA 94538-2310

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Corning Hospital — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fremont