Individual ProviderBrett JohnsonPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way, San Diego, CA 92123-4223(858) 966-8521PECOS EnrollmentBased on the most recent information from CMS, provider Brett Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1457374662Provider TypeIndividualFull NameJohnson, BrettTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date7/26/2006Last Updated5/1/2017Contact InformationPractice LocationPractice Address3020 Childrens Way, San Diego, CA 92123-4223Phone(858) 966-8521Fax(858) 966-8164Mailing LocationMailing Address3020 Childrens Way, San Diego, CA 92123-4223Phone(858) 966-8521Fax(858) 966-8164Provider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA81395CaliforniaCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA81395California