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

Nicole Johnson, PA-C, MPH

Individual provider Physician Assistant · NPI 1053974360

Nicole Johnson, PA-C, MPH is a Physician Assistant in San Diego, California. Qualified in 2019, 7 years ago. Practices with Scripps Health, a 1,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

15004 Innovation Dr
San Diego, CA 92128-3491
Phone: (858) 605-7180
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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 PA56903 (CA)

Record details

NPI number1053974360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPH
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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