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Active NPI 1548720816 Individual Practitioner Male Practitioner

Kyle Patrick Johnson , PA

Physician Assistant • Santa Rosa, CA

Professional Overview & Biography Verified Profile Summary

Kyle Johnson, PA is a registered healthcare professional specializing in Physician Assistant in Santa Rosa, CA. Practice services are available at 30 MARK WEST SPRINGS RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 Mark West Springs Rd

Santa Rosa, CA 954031436

Telephone 7075764040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Santa Rosa, CA (14617 Statewide)

Telehealth Adoption Rate
20.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
71 71 $1280.86 $163.29
99284 Emergency department visit with moderate level of medical decision making
59 57 $852.57 $112.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
40 40 $63.85 $7.97
99291 Critical care, first 30-74 minutes
24 24 $1628.44 $204.26

Medical Specialties & State Licenses

CMS Verified: 2023-10-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 57855

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

1 Associated Practitioners
Dr. Joshua Jacober , MD

Emergency Medicine

NPI 1770043176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2023

Physician Assistant (License #57855 in CA)

📍
Updated Practice Location August 18, 2021

Registered at 30 MARK WEST SPRINGS RD, SANTA ROSA, CA 954031436 (Tel: 7075764040)

📍
Updated Business Mailing Address August 18, 2021

Registered at 2351 CLAY ST STE 501, SAN FRANCISCO, CA 941151931 (Tel: 8668987148)

👤
Provider Name / Credentials Updated August 18, 2021

Recorded as KYLE JOHNSON, PA

📍
Updated Business Mailing Address October 17, 2019

Registered at 2955 CLAY ST APARTMENT 1, SAN FRANCISCO, CA 94115 (Tel: 9257855304)

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as KYLE JOHNSON, PHYSICIAN'S ASSISTAN

NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2019

Registered at 2955 CLAY ST APT 1, SAN FRANCISCO, CA 941151766 (Tel: 9257855304)

📍
Updated Business Mailing Address March 22, 2019

Registered at 2955 CLAY ST APT 1, SAN FRANCISCO, CA 941151766 (Tel: 9257855304)

👤
Provider Name / Credentials Updated March 22, 2019

Recorded as KYLE JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 22, 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: 1548720816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: October 31, 2023
Sole Proprietor: No

Mailing Address

2351 Clay St Ste 501

San Francisco, CA 941151931

Phone: 8668987148

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.