MR. KYLE PATRICK JOHNSON PA NPI 1548720816

NPI Details

MR. Kyle Patrick Johnson, PA is a physician assistant in Santa Rosa, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Kyle Patrick Johnson, PA NPI is 1548720816. 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:

30 MARK WEST SPRINGS RD
SANTA ROSA, CA
ZIP 95403-436
Phone: (707) 576-4040

The NPI 1548720816 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), Power Mobility Devices.

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.

• Emergency department visit for life threatening or functioning severity (HCPCS:99285)
• Emergency department visit for problem of high severity (HCPCS:99284)
• Emergency department visit for problem of moderate severity (HCPCS:99283)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)

The enumeration date for this NPI number is 3/22/2019 and was last updated on 10/31/2023.

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: