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Licensing details for: G 75719

Name: JOHNSON, IAN R

License Type: Physician and Surgeon G

Primary Status: License Renewed & Current Primary Status Definition

School Name: State University of New York Health Science Center at Syracuse

Graduation Year: 1989

Previous Names: JOHNSON, IAN ROBERT

Address of Record

3030 Explorer Dr
SACRAMENTO CA 95827-2728
SACRAMENTO county
Map

Issuance Date

December 14, 1992

Expiration Date

October 31, 2026

Current Date / Time

August 10, 2026
7:56:27 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
9+
Primary Area of Practice
Family Medicine
Secondary Area of Practice
Not Applicable
ABMS Certifications
American Board of Family Medicine - Family Medicine
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 20-29 Hours
Percentage (%) of patient care hours spent on telehealth - 10
Training - 10-19 Hours
Research - None
Administration - 1-9 Hours
Other - None
Primary Practice Location
Zip - 95827
United States Primary Practice Location
Secondary Practice Location
Zip - 95817
United States Secondary Practice Location
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Male

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