DR. MICHAEL ALAN JOHNSON DPM NPI 1205847209

NPI Information

  • NPI: 1205847209
  • Provider Name: DR. MICHAEL ALAN JOHNSON, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 108 LYNCH CREEK WAY
    SUITE 3
    PETALUMA, CA
    ZIP 94954
  • Phone: (707) 763-2253

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NPI Details

DR. Michael Alan Johnson, DPM is a podiatrist in Petaluma, CA with 37 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Michael Alan Johnson, DPM NPI is 1205847209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

108 LYNCH CREEK WAY
SUITE 3
PETALUMA, CA
ZIP 94954
Phone: (707) 763-2253
Fax: (707) 763-7030

The NPI 1205847209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Injection into tendon or ligament (HCPCS:20550)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 8/11/2006 and was last updated on 11/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristE3671CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000E36712MEDICAIDCALIFORNIA
2480027344OTHERCALIFORNIARAILROAD MEDICARE
3000E36712OTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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