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ANTHONY JOHNSON
NPI 1205690310
Physician Assistant - Medical in Gridley, CA

Active since February 08, 2024PECOS EnrolledAccepts Medicare Assignment
240 SPRUCE ST, GRIDLEY, GRIDLEY, CA 95948(530) 846-9000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 18, 2026, Feb 8, 2024 (2 updates tracked since 2024).

About Anthony Johnson NPPES

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

ANTHONY JOHNSON (NPI 1205690310) is an individual medical provider in Gridley, California and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205690310
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANTHONY JOHNSON
Location Address240 SPRUCE ST, GRIDLEYGridley, CA 95948
Mailing Address435 Virginia St Apt AGridley, CA 95948-3043
Phone(530) 846-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 8, 2024
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1205690310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
240 SPRUCE ST, GRIDLEY, Gridley, CA 95948
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204350333
PECOS Enrollment IDI20250409003732
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.

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 Anthony Johnson's NPI number?

The NPI number for Anthony Johnson is 1205690310. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Anthony Johnson located?

Anthony Johnson practices at 240 Spruce St, Gridley, Gridley, CA 95948. The listed phone number is (530) 846-9000.

What is Anthony Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anthony Johnson enrolled in Medicare?

Yes. Anthony Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anthony Johnson was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.