EVELYN M JOHNSON DO
NPI 1346254869
Psychiatry & Neurology - Psychiatry in San Clemente, CA

Active since July 28, 2006Opted out of Medicare · through Jun 9, 2027
53 CALLE AKELIA, SAN CLEMENTE, CA 92673(949) 584-2985 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Evelyn M Johnson Do NPPES

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

EVELYN M JOHNSON DO (NPI 1346254869) is an individual psychiatry provider in San Clemente, California, licensed in California (20A5663) and active in the NPI registry since July 2006. She has opted out of Medicare through June 9, 2027.

NPPES Registry Identity

NPI1346254869
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameEVELYN M JOHNSONCredential: DO
Location Address53 CALLE AKELIASan Clemente, CA 92673-7038
Mailing Address53 Calle AkeliaSan Clemente, CA 92673-7038 · (949) 584-2985
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1346254869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · 20A5663
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
53 CALLE AKELIA, San Clemente, CA 92673

Other Identifiers 1

Other00AX56630CA · Medi Cal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Evelyn M Johnson Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2025 through June 9, 2027.

Opt-Out Effective DateJune 9, 2025
Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Evelyn Johnson's NPI number?

The NPI number for Evelyn Johnson is 1346254869. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Evelyn Johnson located?

Evelyn Johnson practices at 53 Calle Akelia, San Clemente, CA 92673. The listed phone number is (949) 584-2985.

What is Evelyn Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Evelyn Johnson enrolled in Medicare?

No. Evelyn Johnson has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Evelyn Johnson was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.