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

Q: 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.

Q: What is Anthony Johnson's specialty?

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

Q: 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 3 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.

Active since February 08, 2024PECOS Enrolled

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: August 16, 2026.

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

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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.

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

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 (PECOS)

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

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 enrollment system.

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 3 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.