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DERRICK BERNARD JOHNSON PA
NPI 1609093277
Physician Assistant in Torrance, CA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
3565 DEL AMO BLVD, TORRANCE, CA 90503(310) 214-0811 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick Bernard Johnson Pa NPPES

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

DERRICK BERNARD JOHNSON PA (NPI 1609093277) is an individual physician assistant in Torrance, California, licensed in California (PA15689) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1609093277
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDERRICK BERNARD JOHNSONCredential: PA
Location Address3565 DEL AMO BLVDTorrance, CA 90503-1637
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(310) 214-0811
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 18, 2007
Last NPPES UpdateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1609093277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA15689
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3565 DEL AMO BLVD, Torrance, CA 90503
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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

Derrick Bernard Johnson Pa 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 ID2668468323
PECOS Enrollment IDI20040420001764
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services61 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90503 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

ERIKA JOYCE KALASH D.O.
Internal Medicine
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (310) 214-0811
DR. RICHARD ALAN YAMAMOTO M.D.
Dermatology
3565 DEL AMO BLVD, 3RD FLOOR DERMATOLOGY
TORRANCE, CA 90503
Los Angeles County (310) 214-0811
AASHINI SHAH M.D.
Hospitalist
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (714) 443-4512
HEALTH CARE PARTNERS, INC..
Non-Pharmacy Dispensing Site
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (310) 214-0811
MS. ADRIANA LANIZA MONTELLANO NATIVIDAD CERTIFIED OPTICIAN
Technician/Technologist (Contact Lens)
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (310) 214-0811
NARGES JELODARI MD
Pediatrics
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (310) 214-0811
ANITA BHAGAVATH M.D
Internal Medicine (Pulmonary Disease)
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (702) 579-3203
ENERGY FARM INC
Pharmacist
3565 DEL AMO BLVD
TORRANCE, CA 90503
Los Angeles County (310) 370-0911

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 Derrick Johnson's NPI number?

The NPI number for Derrick Johnson is 1609093277. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Derrick Johnson located?

Derrick Johnson practices at 3565 Del Amo Blvd, Torrance, CA 90503. The listed phone number is (310) 214-0811.

What is Derrick Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derrick Johnson enrolled in Medicare?

Yes. Derrick 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 Derrick Johnson was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.