MR. CHARLES MILLER JOHNSON JR. (NPI# 1063744571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063744571 |
| Entity Type | Individual |
| Full Name | MR. CHARLES MILLER JOHNSON JR. |
| Credential | LVN |
| Practice Address |
1020 Robinson Ave Apt 2 San Diego CA 92103-4473 |
| Practice Telephone | 6195814410 |
| Mailing Telephone | 6195814410 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 300231 | NY | Nursing Service Providers |
| N | 164X00000X | Licensed Vocational Nurse | VN251826 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| 1750592978 | Charles Johnson II | Radiology | 4601 Washington St, Hollywood, FL 33021-7647 | 2007-05-28 |
| Street Address |
1020 ROBINSON AVE APT 2 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139836 | Leslie Reynolds | Licensed Practical Nurse | 4077 Menlo Ave Apt 4, San Diego, CA 92105-1945 | 2015-07-15 |
| 1841681681 | Marieta Simpao Tayag | Licensed Practical Nurse | 10319 Azuaga St Unit 301, San Diego, CA 92129-6021 | 2015-02-16 |
| 1174883649 | Tommy Hiers | Licensed Practical Nurse | 7682 Mocking Bird Dr, San Diego, CA 92123-3302 | 2012-05-18 |
| 1699079624 | Latasha Denise Gates | Licensed Practical Nurse | 1504 Paseo Aurora, San Diego, CA 92154-4858 | 2011-01-05 |
| 1740594993 | Nicoleta Victoria Radulescu | Licensed Practical Nurse | 15667 Avenida Alcachofa Apt D, San Diego, CA 92128-4449 | 2010-07-29 |
| 1770753527 | Jaynee Lau Pura | Licensed Practical Nurse | 11440 W Bernardo Ct Ste 300, San Diego, CA 92127-1644 | 2008-03-07 |
| 1528681186 | Rosalinda Garcia | Licensed Practical Nurse | 892 27th St, San Diego, CA 92154-1444 | 2020-05-18 |
| 1770048878 | Valerie Galvez | Licensed Practical Nurse | 1963 4th Ave, San Diego, CA 92101-2394 | 2019-02-04 |
| 1588142210 | Liliani Kaitapu Stiffler | Licensed Practical Nurse | 7986 Dagget St, San Diego, CA 92111-2321 | 2018-08-03 |
| 1548774359 | Allison Lewis | Licensed Practical Nurse | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2017-12-01 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.