Kemit B Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-IIYTXDA Issued in CA

Practice address

4920 Avalon Blvd
Los Angeles, CA 90011-4096

Phone

(323) 214-6008

NPI assigned

Jul 10, 2025

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

State licenses

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1053202754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W FLORENCE AVE APT 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472158",
            "telephone_number": "310-749-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900114096",
            "telephone_number": "323-214-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEMIT",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-IIYTXDA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina R. Johnson
• Keaishi L Johnson
• Kelly E Johnson, PHD
• Kelsey Johnson
• Kelsey Ruth Johnson, CRNA
• Kenneth Wayne Johnson, MD
• Kent Evan Johnson Jr.
• Keri Dangelo Johnson
• Kimberly Johnson
• Kristina Emery Johnson, MD

• Peer Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.