Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538717772 Individual Practitioner Female Practitioner

Maya Johnson , PA-C

Physician Assistant • Nipomo, CA

Professional Overview & Biography Verified Profile Summary

Maya Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Nipomo, CA. Practice services are available at 150 TEJAS PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Tejas Pl

Nipomo, CA 934449123

Telephone 8059293211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nipomo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Nipomo, CA (14617 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 60205

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1043238454

Doctor of Medicine (M.D.)

Donald Casebolt , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1053343046

NURSEPRACTITIONER

NPI 1205865151

Doctor of Medicine (M.D.)

Ruth Gray

Chiropractor

NPI 1285655654
NPI 1306193560

Doctor of Dental Surgery

NPI 1366904963

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 21, 2025

Registered at 150 TEJAS PL, NIPOMO, CA 934449123 (Tel: 8059293211)

📍
Updated Business Mailing Address November 17, 2021

Registered at 2050 S BLOSSER RD, SANTA MARIA, CA 934587310 (Tel: 8053618030)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2021

Physician Assistant (License #60205 in CA)

📍
Updated Practice Location February 07, 2020

Registered at 5855 E STILL CIR, MESA, AZ 852063631 (Tel: 6026949695)

📍
Updated Business Mailing Address February 07, 2020

Registered at 5855 E STILL CIR, MESA, AZ 852063631

NPI Profile Active August 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2019

Registered at 1126 W WILLETTA ST, PHOENIX, AZ 850071925 (Tel: 6026949695)

📍
Updated Business Mailing Address August 30, 2019

Registered at 1126 W WILLETTA ST, PHOENIX, AZ 850071925

👤
Provider Name / Credentials Updated August 30, 2019

Recorded as MAYA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538717772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2019
Last Update: February 21, 2025
Sole Proprietor: Yes

Mailing Address

2050 S Blosser Rd

Santa Maria, CA 934587310

Phone: 8053618030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.