MR. KENJI LAMONT JOHNSON PA
NPI 1619006731
Physician Assistant - Medical in Van Nuys, CA

Q: What is Kenji Johnson's NPI number?

The NPI number for Kenji Johnson is 1619006731. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Kenji 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 Kenji Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 March 05, 2007PECOS Enrolled

6401 VAN NUYS BLVD, VAN NUYS, CA 91401(818) 781-7900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mr. Kenji Lamont Johnson Pa NPPES

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

MR. KENJI LAMONT JOHNSON PA (NPI 1619006731) is an individual medical provider in Van Nuys, California, licensed in California (16862) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619006731

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. KENJI LAMONT JOHNSONCredential: PA

Location Address6401 VAN NUYS BLVDVan Nuys, CA 91401-1437

Mailing Address3579 E Foothill Blvd # 531Pasadena, CA 91107-3119

Phone(818) 781-7900

Sole ProprietorNo

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619006731 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

License✔ Licensed in CA · 16862

6401 VAN NUYS BLVD, Van Nuys, CA 91401

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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)

Mr. Kenji Lamont Johnson Pa 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 Kenji Johnson's NPI number?

The NPI number for Kenji Johnson is 1619006731. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Kenji Johnson located?

Kenji Johnson practices at 6401 Van Nuys Blvd, Van Nuys, CA 91401. The listed phone number is (818) 781-7900.

What is Kenji Johnson's specialty?

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

Is Kenji Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenji Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.