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

Tracy Johnson, MD

Individual provider Specialist · NPI 1972122646

Tracy Johnson, MD is a Specialist in Fresno, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
4
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

4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Phone: (559) 600-2382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10605 Balboa Blvd, Granada Hills, CA 91344-6342 — (818) 832-2400
  • 14445 Olive View Dr, Sylmar, CA 91342-1437 — (747) 210-3000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A177199 (CA)
Specialist Taxonomy 174400000X · Licence A177199 (CA)
Specialist Taxonomy 174400000X · Licence PTL3958 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1972122646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604

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