Autumn Johnson (NPI# 1902206741, PAC ID# 6709132830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1902206741 |
| PAC ID by PECOS | 6709132830 |
| Professional Enrollment ID | I20180703002243 |
| Full Name | Autumn Johnson |
| Organization Legal Name | EXODUS RECOVERY INC |
| Address |
524 W Vista Way Vista CA 92083-5704 |
| Phone Number | 7607581150 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2668467341 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4308 30th St, San Diego, CA 92104-1314 | 3109453350 | EXODUS RECOVERY INC |
| 524 W Vista Way, Vista, CA 92083-5704 | 7607581150 | EXODUS RECOVERY INC |
| Organization Legal Name | EXODUS RECOVERY INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawanda D Smith | Nurse Practitioner | Exodus Recovery Inc | 12021 S Wilmington Ave, Fl 2 Ic1 Ic7, Los Angeles, CA 90059-3019 |
| Beth A Domingue | Clinical Social Worker | Exodus Recovery Inc | 2950 El Cajon Blvd, Suite 4, San Diego, CA 92104-1205 |
| Joseph A Derije | Nurse Practitioner | Exodus Recovery Inc | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-6824 |
| John Trieu | Nurse Practitioner | Exodus Recovery Inc | 3828 Hughes Ave, Culver City, CA 90232-2716 |
| Jazmin Jackson | Clinical Social Worker | Exodus Recovery Inc | 4308 30th St, San Diego, CA 92104-1314 |
| Hillary D Mahl | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Eva M Westholm | Clinical Social Worker | Exodus Recovery Inc | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 |
| Jovita C Ezirim-salamialofoje | Nurse Practitioner | Exodus Recovery Inc | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 |
| Deborah R Ellis | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Nancy M Richmond | Nurse Practitioner | Exodus Recovery Inc | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-6824 |
| Street Address |
524 W VISTA WAY |
| City | VISTA |
| State | CA |
| Zip | 92083-5704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Mahl | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Deborah R Ellis | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Angela N Romero | Clinical Social Worker | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Pamela Jones | Psychiatry | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Douglas R Conte | Psychiatry | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Blair L Ibarra | Clinical Social Worker | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaminah Espinosa-silva | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| David M Chaffee | Nurse Practitioner | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Sophia L Bradley | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Mark A Peterson | Physical Therapy | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Christine A Strohmeyer | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Richard H Lovell | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Alexander Mendivil | Emergency Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Kathryn N Sullivan | Nurse Practitioner | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Russe E.m. Laxa | Nurse Practitioner | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Reyzan E Shali | Internal Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Find all physicians in zip 92083 | |||
| City | VISTA |
| Zip Code | 92083 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | VISTA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Autumn Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.