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

Mr. Stephan Lee Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1568799880

Mr. Stephan Lee Johnson, PA-C is a Medical Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

4060 Fairmount Ave
San Diego, CA 92105-1608
Phone: (619) 280-4213
Fax: (619) 280-3545
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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 PA16986 (CA)

Record details

NPI number1568799880
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2009
Last updated in NPPESDecember 27, 2011

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