Raymon Tyler Johnson, D.C.
NPI 1639359763ActiveIndividual· Chiropractor· San Clemente, CA
Chiropractor (D.C.) in San Clemente, California, licensed in CA, with an NPI issued in November 2007. Medicare paid $35,534 for services to 74 patients in 2024.
Overview
| NPI | 1639359763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Nov 6, 2007 |
| Last updated in NPPES | Jul 20, 2023 |
| Certified by provider | Jul 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | DC 30699 | CA |
| Chiropractor, Sports Physician | 111NS0005X | DC30699 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 1,109 across 2 procedure codes |
| Paid by Medicare | $35,534 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Chiropractic |
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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