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MARTIN ALLEN JOHNSON LCSW
NPI 1104479823
Social Worker - Clinical in San Bernardino, CA

Active since July 22, 2019PECOS Enrolled
686 E MILL ST, SAN BERNARDINO, CA 92415(909) 798-8455 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Oct 14, 2022, May 21, 2021 and 1 more (4 updates tracked since 2019).

About Martin Allen Johnson Lcsw NPPES

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

MARTIN ALLEN JOHNSON LCSW (NPI 1104479823) is an individual clinical provider in San Bernardino, California, licensed in California (132380) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104479823
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARTIN ALLEN JOHNSONCredential: LCSW
Location Address686 E MILL STSan Bernardino, CA 92415-4219
Mailing Address686 E Mill StSan Bernardino, CA 92415-0647 · (909) 798-8455
Phone(909) 798-8455
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 22, 2019
Last NPPES UpdateJune 21, 20264 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
✔ NPI 1104479823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 132380
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
686 E MILL ST, San Bernardino, CA 92415
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Allen Johnson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143786707
PECOS Enrollment IDI20260803004741
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Martin Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of California, P.C.
16 mi
Clinical
8300 UTICA AVE STE 245
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1417718297 (909) 989-4055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEXA VEGA RIVAS
Student in an Organized Health Care Education/Training Program
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 798-8455
MRS. ESMERALDA ARELLANO
Student in an Organized Health Care Education/Training Program
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 798-8455
LEAH ROSE MARTINEZ
Social Worker
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 798-8455
SHELDON SMITH
Marriage & Family Therapist
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 798-8455
EDEN PADILLA
Day Training/Habilitation Specialist
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 798-8455
STEPHANIE ROSSANO
Counselor (Mental Health)
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (800) 451-5633
APRIL CELESTE JOHNSON
Marriage & Family Therapist
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 798-8500
KARLA ALVAREZ-OVALLE
Marriage & Family Therapist
686 E MILL ST
SAN BERNARDINO, CA 92415
San Bernardino County (800) 451-5633

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 Martin Johnson's NPI number?

The NPI number for Martin Johnson is 1104479823. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Martin Johnson located?

Martin Johnson practices at 686 E Mill St, San Bernardino, CA 92415. The listed phone number is (909) 798-8455.

What is Martin Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Martin Johnson enrolled in Medicare?

Yes. Martin Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Martin Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Johnson reassigns Medicare benefits to Optum Behavioral Care Of California, P.C. (Rancho Cucamonga, 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 Martin 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 Martin Johnson was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.