DR. KRISTINA GRACE JOHNSON PH.D.
NPI 1053475095
Psychologist in San Jose, CA
About Dr. Kristina Grace Johnson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTINA GRACE JOHNSON PH.D. (NPI 1053475095) is an individual psychologist in San Jose, California, licensed in California (PSY 18871) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kristina Grace Johnson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristina Johnson's NPI number?
The NPI number for Kristina Johnson is 1053475095. It was assigned to this individual provider in the NPPES registry on December 21, 2006. The provider is also known as Dr. Kristina Grace Quarneri-Johnson Ph.D..
Where is Kristina Johnson located?
Kristina Johnson practices at 5755 Cottle Rd Building 4, San Jose, CA 95123. The listed phone number is (408) 972-3095.
What is Kristina Johnson's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kristina Johnson enrolled in Medicare?
Yes. Kristina Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Johnson reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristina Johnson was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.