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

Sophie Rae Johnson, PA-C

Individual provider Physician Assistant · NPI 1700665569

Sophie Rae Johnson, PA-C is a Physician Assistant in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
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

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone: (480) 412-3000
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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 9973 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1700665569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

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