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

Mr. Trevor Russell Johnson, OTC

Individual provider Surgical Assistant · NPI 1609102698

Mr. Trevor Russell Johnson, OTC is a Surgical Assistant in Encinitas, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

320 Santa Fe Dr Ste 301
Encinitas, CA 92024-5140
Phone: (760) 633-4700
Fax: (760) 635-4344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence OTC 09-0802

Record details

NPI number1609102698
Entity typeIndividual (Type 1)
GenderMale
Credentials OTC
Sole proprietorNo
NPI enumeratedOctober 26, 2009
Last updated in NPPESOctober 26, 2009