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

Michael Johnson

Individual provider Family Medicine Physician · NPI 1053391243

Michael Johnson is a Family Practice in Scotts Valley, California. Graduated from University of Southern California Keck School of Medicine in 1982, 44 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
44
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

4663 Scotts Valley Dr
Scotts Valley, CA 95066-4202
Phone: (831) 458-6330
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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 G50420 (CA)

Record details

NPI number1053391243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJanuary 4, 2012
Mailing address2025 Soquel Ave, Santa Cruz, CA 95062-1323

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Scotts Valley