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

Ryan Thomas Johnson, PA

Individual provider Physician Assistant · NPI 1164179214

Ryan Thomas Johnson, PA is a Physician Assistant in Oceanside, California. Qualified in 2022, 4 years ago. Practices with Tri-City Orthopaedic Surgery Medical Group Inc, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

3905 Waring Rd
Oceanside, CA 92056-4405
Phone: (760) 724-9000
Fax: (760) 724-3686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164179214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESDecember 4, 2023
Certification dateMay 12, 2023
Mailing address3905 Waring Rd, Oceanside, CA 92056-4405

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tri-City Orthopaedic Surgery Medical Group Inc. — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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