Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB GRANT JOHNSON
NPI 1699698670
Physician Assistant - Medical in Taylorsville, UT

Active since August 04, 2026
1533 W CANNONWOOD PL, TAYLORSVILLE, UT 84123(208) 350-1970 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Grant Johnson NPPES

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

JACOB GRANT JOHNSON (NPI 1699698670) is an individual medical provider in Taylorsville, Utah, licensed in Utah (14297271-1206) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1699698670
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB GRANT JOHNSON
Location Address1533 W CANNONWOOD PLTaylorsville, UT 84123-6693
Mailing Address1533 W Cannonwood PlTaylorsville, UT 84123-6693
Sole ProprietorNo
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
NPI 1699698670 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 UT · 14297271-1206
1533 W CANNONWOOD PL, Taylorsville, UT 84123

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 Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1699698670. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Jacob Johnson located?

Jacob Johnson practices at 1533 W Cannonwood Pl, Taylorsville, UT 84123. The listed phone number is (208) 350-1970.

What is Jacob Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.