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

Mr. Kyle Patrick Johnson, PA

Individual provider Physician Assistant · NPI 1548720816

Mr. Kyle Patrick Johnson, PA is a Physician Assistant in Santa Rosa, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone: (707) 576-4040
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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 57855 (CA)

Record details

NPI number1548720816
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address2351 Clay St Ste 501, San Francisco, CA 94115-1931

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