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

Individual provider Psychiatry Physician · NPI 1790977502

Staci R. Johnson, MD is a Psychiatry in Chino, California. Graduated from Howard University College of Medicine in 1999, 27 years ago. Practices with County of Imperial, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Trained at
Howard University College of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4550 Eucalyptus Ave
Chino, CA 91710-9215
Phone: (310) 629-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A85895 (CA)

Record details

NPI number1790977502
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2007
Last updated in NPPESJuly 31, 2012
Mailing address4550 Eucalyptus Ave, Chino, CA 91710-9215

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice County Of Imperial — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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