Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Johnson, DO

Individual provider Family Medicine Physician · NPI 1407876063

Derek Johnson, DO is a Family Practice in Brentwood, California. Qualified in 2001, 25 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

350 John Muir Pkwy Ste 105
Brentwood, CA 94513-5183
Phone: (925) 513-2483
Fax: (925) 513-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 San Pablo Ave, Albany, CA 94706-1103 — (510) 204-8130
  • 4053 Lone Tree Way Ste 101, Antioch, CA 94531-6210 — (925) 756-3400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A8220 (CA)

Record details

NPI number1407876063
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations19 on file with Medicare

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