MR. DAVID DEAN JOHNSON (NPI# 1720204506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720204506 |
| Entity Type | Individual |
| Full Name | MR. DAVID DEAN JOHNSON |
| Credential | LPCC |
| Practice Address |
1108 S El Camino Real San Mateo CA 94402-2804 |
| Practice Telephone | 6199282267 |
| Mailing Telephone | 6199282267 |
| Mailing Fax Number | 6504580027 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
7541 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PCCI1792 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
1108 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876337 | Jenae Aesha Richardson | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2020-09-17 |
| 1982148557 | Michael Krechevsky | Peer Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-12-15 |
| 1992248884 | Cheng Hsu | Peer Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-11-23 |
| 1215485487 | Philip Hershon | Peer Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-09-16 |
| 1104283167 | Bryan Robert Milonja | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-01-21 |
| 1669855730 | Patrick Kerwin | Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2015-07-07 |
| 1740673441 | Shannon Diaz | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2015-03-05 |
| 1063831337 | Sarah Schaafsma | Marriage & Family Therapist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2014-04-15 |
| 1174952378 | Mary Brennan | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2013-11-07 |
| 1093142309 | Nga Ly | Nurse Practitioner | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313773 | Donna C Rodriguez | Counselor | 25a W 25th Ave, San Mateo, CA 94403-2576 | 2020-03-27 |
| 1023660867 | Little Munchkins Professional Clinical Counselor Inc | Counselor | 1905 Palm Ave, San Mateo, CA 94403-1326 | 2019-07-11 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| 1609195437 | Heather Dawn Batalden | Counselor | 13 Lodato Avenue, San Mateo, CA 94403-8252 | 2010-05-18 |
| 1770501561 | Alfred Arjun Pillay | Counselor | 334 N San Mateo Dr, San Mateo, CA 94401-2514 | 2006-07-18 |
| 1902438302 | Emily L Yamazaki | Counselor | 1510 Fashion Island Blvd Ste 110, San Mateo, CA 94404-5043 | 2020-02-04 |
| 1124681986 | Graham Livesay | Counselor | 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | 2019-04-17 |
| 1194241141 | Stefany Andy Cahyadi | Counselor | 126 W 25th Ave Ste 200, San Mateo, CA 94403-2208 | 2017-08-21 |
| 1376817270 | Renee M Finnicum | Counselor | 307 2nd Ave, San Mateo, CA 94401-3905 | 2012-02-24 |
| 1003195066 | Diana To | Counselor | 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404-1596 | 2011-08-09 |
| Find all providers in SAN MATEO | ||||
Please comment or provide details below to improve the information on MR. DAVID DEAN JOHNSON.
| 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.