MELISSA J JOHNSON (NPI# 1225667827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225667827 |
| Entity Type | Individual |
| Full Name | MELISSA J JOHNSON |
| Credential | SUDRC |
| Practice Address |
10936 Dale Ave Stanton CA 90680-2724 |
| Practice Telephone | 7149524032 |
| Practice Fax Number | 7149524075 |
| Mailing Telephone | 7149524032 |
| Mailing Fax Number | 7149524075 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10626 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1720626047 | Melissa Johnson | Pharmacist | 5313 Paulsen St, Savannah, GA 31405-4800 | 2019-12-17 |
| 1528523867 | Melissa A. Johnson | Nurse Practitioner | 190 Jack Martin Blvd Bldg B3, Brick, NJ 08724-7728 | 2019-01-31 |
| 1144736893 | Melissa D Johnson | Occupational Therapy Assistant | 12610 Taylorwood Ln, Houston, TX 77070-5146 | 2017-12-18 |
| 1295245702 | Melissa Johnson | Counselor | 417 Biltmore Ave Ste 4b, Asheville, NC 28801-4541 | 2017-10-10 |
| 1144768748 | Melissa Johnson | Specialist/Technologist | 9717 W Kuse Rd, Frankfort, IL 60423-8003 | 2017-02-03 |
| 1871049379 | Melissa Johnson | Counselor | 12626 Forest Rd, Huntsburg, OH 44046-9737 | 2016-08-25 |
| 1326490020 | Melissa Lynn Johnson | Speech-Language Pathologist | 4104 S Grand Blvd, Spokane, WA 99203-2807 | 2016-07-06 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1164892097 | Melissa Marie Johnson | Counselor | 793 Old Route 119 Hwy. N., Indiana, PA 15701-1372 | 2015-10-05 |
| Street Address |
10936 DALE AVE |
| City | STANTON |
| State | CA |
| Zip Code | 90680-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689772170 | Roque Center, Inc | Substance Abuse Rehabilitation Facility | 10936 Dale Ave, Stanton, CA 90680-2724 | 2006-09-20 |
| 1518584598 | Cheyenne Elayne Mckloski | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1083230072 | Antoinette Sanchez | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1225652944 | Donald Ross | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-05-29 |
| 1568095842 | Jeshua Valverde | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1659904936 | Nicholas A Alcus | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1710525589 | Hinal Maganlal | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-12-12 |
| 1750924056 | Shauna Mckinney | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-10-21 |
| 1821639030 | Victoria Lee Weber | Social Worker | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-09-30 |
| 1255985255 | Breanon Kratzer | Counselor | 10936 Dale Ave, Stanton, CA 90680 | 2019-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681770 | Summer Nicole Hulsey | Counselor | 10862 Oak St, Stanton, CA 90680-9068 | 2017-07-10 |
| 1275132144 | Nedra Mitchell | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2020-10-21 |
| 1518584598 | Cheyenne Elayne Mckloski | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1083230072 | Antoinette Sanchez | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1225652944 | Donald Ross | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-05-29 |
| 1568095842 | Jeshua Valverde | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1659904936 | Nicholas A Alcus | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1710525589 | Hinal Maganlal | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-12-12 |
| 1750924056 | Shauna Mckinney | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-10-21 |
| 1255985255 | Breanon Kratzer | Counselor | 10936 Dale Ave, Stanton, CA 90680 | 2019-07-29 |
| Find all providers in STANTON | ||||
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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.