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

Travis Zachary Johnson, MD

Individual provider Psychiatry Physician · NPI 1255950291

Travis Zachary Johnson, MD is a Psychiatry in Riverside, California. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
CA
In the registry since
2020
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

14350 Meridian Pkwy # 2
Riverside, CA 92518-3035
Phone: (951) 827-7669
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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 A176755 (CA)

Record details

NPI number1255950291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address14350 Meridian Pkwy # 2, Riverside, CA 92518-3035

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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