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SANDRA C JOHNSON MD
NPI 1699866079
Family Medicine in Davis, CA

Active since September 28, 2006Opted out of Medicare · through Apr 25, 2027
635 ANDERSON RD, #10, DAVIS, CA 95616(530) 758-1122(530) 758-1646 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra C Johnson Md NPPES

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

SANDRA C JOHNSON MD (NPI 1699866079) is an individual family medicine provider in Davis, California, licensed in California (G58830) and active in the NPI registry since September 2006. She has opted out of Medicare through April 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699866079
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA C JOHNSONCredential: MD
Location Address635 ANDERSON RD, #10Davis, CA 95616-3505
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071
Phone(530) 758-1122
Fax(530) 758-1646
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699866079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G58830
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
635 ANDERSON RD, Davis, CA 95616
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Other Identifiers 2

Medicare ID-Type Unspecified00G588300
Medicare UPINA53449

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sandra C Johnson Md 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 April 25, 2019 through April 25, 2027.

Opt-Out Effective DateApril 25, 2019
Opt-Out In Effect ThroughApril 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95616 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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.

RONALD D COTTEREL MD
Family Medicine
635 ANDERSON RD, SUITE 12
DAVIS, CA 95616
Yolo County (530) 758-1122
CRYSTAL BLANKENSHIP M.D.
Family Medicine
635 ANDERSON RD, SUITE 10
DAVIS, CA 95616
Yolo County (530) 758-1122
SPECIALIZED ORTHOPEDIC SURGEONS
Specialist
635 ANDERSON RD
DAVIS, CA 95616
Yolo County (530) 771-4000
DR. BENTON JAMES RUNQUIST D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
635 ANDERSON RD, SUITE #6
DAVIS, CA 95616
Yolo County (530) 756-0220
MICHAEL P GOODMAN M.D.
Specialist
635 ANDERSON RD, SUITE 12B
DAVIS, CA 95616
Yolo County (530) 753-2787
HANGER PROSTHETICS & ORTHOTICS WEST, INC.
Prosthetic/Orthotic Supplier
635 ANDERSON RD, SUITE 18
DAVIS, CA 95616
Yolo County (530) 204-5123
DR. TYLER POLAND D.C.
Chiropractor
635 ANDERSON RD, STE 14
DAVIS, CA 95616
Yolo County (530) 400-8390
JEFFRY METHENY M.D.
Specialist
635 ANDERSON RD, #18
DAVIS, CA 95616
Yolo County (530) 771-4000

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 Sandra Johnson's NPI number?

The NPI number for Sandra Johnson is 1699866079. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Sandra Johnson located?

Sandra Johnson practices at 635 Anderson Rd #10, Davis, CA 95616. The listed phone number is (530) 758-1122.

What is Sandra Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandra Johnson enrolled in Medicare?

No. Sandra Johnson has opted out of Medicare through April 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sandra 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.