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Deactivated NPI 1922611896 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Lynn Johnson , MD

General Practice • Palm Desert, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2020
NPI Deactivation Date October 09, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Johnson, MD was a registered General Practice practicing in Palm Desert, CA. Throughout an active medical career spanning 5 years, Dr. Johnson provided care at the practice location at 74075 EL PASEO STE B2 until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

74075 El Paseo Ste B2

Palm Desert, CA 922604118

Telephone 7607735994
Fax 7603463885
Associated Practice Facility / Clinic
🏢 Sbr Recovery, Llc Facility NPI 1366975344

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Palm Desert, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Palm Desert, CA (2300 Statewide)

Telehealth Adoption Rate
22.2% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G42685

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active August 28, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2020

Registered at 74075 EL PASEO STE B2, PALM DESERT, CA 922604118 (Tel: 7607735994)

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Updated Business Mailing Address August 28, 2020

Registered at 74075 EL PASEO STE B2, PALM DESERT, CA 922604118 (Tel: 7607735994)

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Provider Name / Credentials Updated August 28, 2020

Recorded as DANIEL JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

General Practice (License #G42685 in CA)

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Initial NPI Registration & Enumeration August 28, 2020

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: 1922611896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2020
Last Update: August 28, 2020
Deactivation Date: October 09, 2025

Mailing Address

74075 El Paseo Ste B2

Palm Desert, CA 922604118

Phone: 7607735994

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.