Amy Jeannine Johnson
Physician Assistant in Stanford, CA. Individual provider (NPI-1).
NPI number1164043808
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1164043808
- Entity type
- Individual (NPI-1)
- Name
- Amy Jeannine Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2020
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 58633 | CA | Yes |
Practice location
300 Pasteur Dr Rm A32Stanford, CA 94305-2200
Phone 650-725-5227
Mailing address
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Other practice locations
5525 Grossmont Center Dr Ste 602
La Mesa, CA 91942-3009
La Mesa, CA 91942-3009
Phone 619-740-4720 · Fax 619-740-4797
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