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

Latasha J Johnson, PA-C

Individual provider Family Medicine Physician · NPI 1326463639

Latasha J Johnson, PA-C is a Family Medicine Physician in Wright Patterson AFB, Ohio. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone: (937) 257-9612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 51405 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 51405 (CA)

Record details

NPI number1326463639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

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