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

Raymon Tyler Johnson, DC

Individual provider Sports Physician Chiropractor · NPI 1639359763

Raymon Tyler Johnson, DC is a Chiropractic in San Clemente, California. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

83 Via Pico Plz
San Clemente, CA 92672-3998
Phone: (949) 436-6440
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC 30699 (CA)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence DC30699 (CA)

Record details

NPI number1639359763
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedNovember 6, 2007
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address83 Via Pico Plz, San Clemente, CA 92672-3998

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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