Preston Johnson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1734 Ximeno Ave Apt 4
Long Beach, CA 90815-3751

Phone

(760) 550-4403

NPI assigned

Aug 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1023784576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 XIMENO AVE APT 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153751",
            "telephone_number": "760-550-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 XIMENO AVE APT 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153751",
            "telephone_number": "760-550-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRESTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquinta Johnson
• Merien Johnson
• Michael Shawn Johnson, PA
• Monic Chastity Johnson
• Natalie Ma Johnson, NP
• Rebecca S. Johnson, MSW
• Regina Johnson
• Rochelle Johnson
• Roshonda Johnson
• Shaday Johnson

• Athletic Trainer in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.