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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JEFFREY KYLE JOHNSON ATC
NPI 1073579199
Specialist/Technologist - Athletic Trainer in Santa Monica, CA

Active since April 26, 2006
1714 21ST ST, SANTA MONICA, CA 90404(310) 908-8859 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jeffrey Kyle Johnson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY KYLE JOHNSON ATC (NPI 1073579199) is an individual athletic trainer provider in Santa Monica, California and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1073579199
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JEFFREY KYLE JOHNSONCredential: ATC
Location Address1714 21ST STSanta Monica, CA 90404-3917
Mailing Address5780 W Centinela Ave, Apt. 301Los Angeles, CA 90045-1599 · (310) 337-9137
Phone(310) 908-8859
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1073579199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1714 21ST ST, Santa Monica, CA 90404
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM WATERS MFT
Marriage & Family Therapist
1714 21ST ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-7391

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 Jeffrey Johnson's NPI number?

The NPI number for Jeffrey Johnson is 1073579199. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jeffrey Johnson located?

Jeffrey Johnson practices at 1714 21st St, Santa Monica, CA 90404. The listed phone number is (310) 908-8859.

What is Jeffrey Johnson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jeffrey Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.