Coulsander Johnson

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN192615 Issued in CA

Practice address

2090 Myrtle Ave
Long Beach, CA 90806-4932

Phone

(562) 230-3354

Fax

(562) 247-1822

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concern Geriatric Care

  • Home Health Agency
  • Longbeach, CA
  • NPI 1366083230

  Home Health

  NPD Authorized official
• Coulsander Johnson Concern Geriatric Care

  • In Home Supportive Care Agency
  • Long Beach, CA
  • NPI 1033554514
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1013396340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 MYRTLE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064932",
            "telephone_number": "562-230-3354",
            "fax_number": "562-247-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 MYRTLE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064932",
            "telephone_number": "562-230-3354",
            "fax_number": "562-247-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COULSANDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN192615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Johnson
• Ayana Takeia Johnson
• Candice Rae Johnson, D.D.S.
• Cassidy Johnson, DC
• Charee Johnson
• Courtney Victoria Johnson, PMHNP
• Crystal Mae Johnson, PTA
• Daivana Johnson
• Deshawn Allen Johnson
• Diane L. Johnson, M.D.

• All providers in Long Beach, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.