Aleda Marie Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN53019 Issued in CA

Practice address

23885 Lake Vista Rd
Moreno Valley, CA 92557-2815

Phone

(951) 640-8720

NPI assigned

Sep 20, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1043406275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23885 LAKE VISTA RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572815",
            "telephone_number": "951-640-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23885 LAKE VISTA RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572815",
            "telephone_number": "951-640-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN53019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevtej Johal, BA
• John Liquete MD Inc
• John W. Koett, M.D., PHD, Inc.
• Fanta Ceesay John, MD
• Dyniss Johnson-Thornton
• Alyssa Johnson
• Andrea Michelle Johnson, D.O.
• Deshemia Johnson, RN
• Joshua Riley Johnson, PA-C
• Kelsey Marie Johnson

• Licensed Vocational Nurse in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.