1. Home
  2. Directory
  3. California
  4. Chino
  5. Psychiatry Neurology
  6. NPI Profile

STACI R. JOHNSON M.D.
NPI 1790977502
Psychiatry & Neurology - Psychiatry in Chino, CA

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment
4550 EUCALYPTUS AVE, CHINO, CA 91710(310) 629-8989 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci R. Johnson M.d. NPPES

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

STACI R. JOHNSON M.D. (NPI 1790977502) is an individual psychiatry provider in Chino, California, licensed in California (A85895) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1999).

NPPES Registry Identity

NPI1790977502
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSTACI R. JOHNSONCredential: M.D.
Location Address4550 EUCALYPTUS AVEChino, CA 91710-9215
Mailing Address4550 Eucalyptus AveChino, CA 91710-9215 · (310) 629-8989
Phone(310) 629-8989
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1999
Enumeration DateAugust 15, 2007
Last NPPES UpdateJuly 31, 2012
✔ NPI 1790977502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A85895
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4550 EUCALYPTUS AVE, Chino, CA 91710
Open in Google Maps ↗

Other Names 1

Former Name (1)Staci R. Butler M.d.

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

Staci R. Johnson M.d. 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 ID7416027842
PECOS Enrollment IDI20080528000412
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 2

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 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.
78 services38 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.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91710 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Staci Johnson's NPI number?

The NPI number for Staci Johnson is 1790977502. It was assigned to this individual provider in the NPPES registry on August 15, 2007. The provider is also known as Staci R. Butler M.D..

Where is Staci Johnson located?

Staci Johnson practices at 4550 Eucalyptus Ave, Chino, CA 91710. The listed phone number is (310) 629-8989.

What is Staci Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Staci Johnson enrolled in Medicare?

Yes. Staci 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 Staci Johnson was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.