Individual Healthcare Provider
Derek Johnson, D.O.
Provider's NPPES record last updated: March 7, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407876063
- Primary Specialty
- Family Medicine
- Practice Location
- Brentwood, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 7:50 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (California)
- 20A8220
Practice Locations
Practice Location
350 John Muir Pkwy Ste 105
Brentwood, California 94513-5183
Phone: (925) 513-2483
Additional Practice Location
500 San Pablo Ave
Albany, California 94706-1103
Phone: (510) 204-8130
Additional Practice Location
4053 Lone Tree Way Ste 101
Antioch, California 94531-6210
Phone: (925) 756-3400
Fax: (925) 757-0849
Record Information
- Enumeration Date
- July 19, 2006
- Provider's NPPES Record Last Updated
- March 7, 2023
- NPISignal NPPES Dataset
- August 2026
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