Blair R. Johnson, PA
NPI 1124082292ActiveIndividual· Physician Assistant, Medical· Covina, CA
Physician Assistant, Medical (PA) in Covina, California, licensed in CA, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1124082292 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 14, 2006 |
| Last updated in NPPES | Oct 14, 2020 |
| Certified by provider | Oct 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA11436 | CA |
| Physician Assistant | 363A00000X | PA11436 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA11436 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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