ANDREW W JOHNSON MMS, PA-C
NPI 1730778978
Physician Assistant - Medical in Costa Mesa, CA

Q: What is Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1730778978. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Q: What is Andrew 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 Andrew Johnson was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment

3151 AIRWAY AVE STE G1, COSTA MESA, CA 92626(714) 545-5550 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Apr 13, 2021, Jan 12, 2021 (3 updates tracked since 2021).

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About Andrew W Johnson Mms, Pa-c NPPES

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

ANDREW W JOHNSON MMS, PA-C (NPI 1730778978) is an individual medical provider in Costa Mesa, California, licensed in California (59223) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730778978

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameANDREW W JOHNSONCredential: MMS, PA-C

Location Address3151 AIRWAY AVE STE G1Costa Mesa, CA 92626-4624

Mailing Address341 Monte Vista AveCosta Mesa, CA 92627-1460 · (619) 756-4112

Phone(714) 545-5550

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 12, 2021

Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1730778978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 59223

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA59223 (CA)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

3151 AIRWAY AVE STE G1, Costa Mesa, CA 92626

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Secondary Practice Locations 2

Location 13828 Delmas TerCulver City, CA 90232-2713 · Phone (619) 756-4112

Location 2125 Baker St Unit 172Costa Mesa, CA 92626-4556 · Phone (619) 756-4112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Andrew W Johnson Mms, Pa-c 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 ID7315356045

PECOS Enrollment IDI20210511000728

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 3

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.

146 services41 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.

86 services26 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

40 services23 patients

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY MARTINEZ PA-C, CAQ-PSYCH

Physician Assistant (Medical)