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

Michael Ray Johnson, OTC

Individual provider Orthopedic Assistant · NPI 1679023774

Michael Ray Johnson, OTC is an Orthopedic Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

4647 Zion Ave
San Diego, CA 92120-2507
Phone: (619) 528-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Assistant (primary) Taxonomy 246ZX2200X (CA)

Record details

NPI number1679023774
Entity typeIndividual (Type 1)
GenderMale
Credentials OTC
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 12, 2016
Mailing address4647 Zion Ave, San Diego, CA 92120-2507

Other providers in San Diego