Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRACY JOHNSON MD
NPI 1972122646
Psychiatry & Neurology - Psychiatry in Santa Fe Springs, CA

Q: What is Tracy Johnson's NPI number?

The NPI number for Tracy Johnson is 1972122646. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Tracy Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Johnson was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 13, 2020PECOS Enrolled

10330 PIONEER BLVD STE 215, SANTA FE SPRINGS, CA 90670(562) 402-0677(323) 544-0967 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Sep 23, 2024, Aug 10, 2023 and 3 more (6 updates tracked since 2020).

On this page

About Tracy Johnson Md NPPES

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

TRACY JOHNSON MD (NPI 1972122646) is an individual psychiatry provider in Santa Fe Springs, California, licensed in California (A177199) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1972122646

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTRACY JOHNSONCredential: MD

Location Address10330 PIONEER BLVD STE 215Santa Fe Springs, CA 90670-8277

Mailing Address10330 Pioneer Blvd Ste 215Santa Fe Springs, CA 90670-8277 · (562) 402-0677 · Fax (323) 544-0967

Phone(562) 402-0677

Fax(323) 544-0967

Sole ProprietorNo

Enumeration DateApril 13, 2020

Last NPPES UpdateSeptember 17, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1972122646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A177199

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.

Also ListedSpecialistTaxonomy 174400000X · License PTL3958 (CA), A177199 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10330 PIONEER BLVD STE 215, Santa Fe Springs, CA 90670

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Secondary Practice Location 1

Location 13115 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 600-2382

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Johnson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90670 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

MS. NARISSA HASTIN PHUNG

Day Training/Habilitation Specialist