Charles Miller Johnson Jr., LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

300231 Issued in NY

Practice address

1020 Robinson Ave Apt 2
San Diego, CA 92103-4473

Phone

(619) 581-4410

NPI assigned

Feb 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1063744571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ROBINSON AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034473",
            "telephone_number": "619-581-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ROBINSON AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034473",
            "telephone_number": "619-581-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "middle_name": "MILLER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300231",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN251826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Johnson
• Cassie Johnson
• Catalina Johnson
• Catherine Johnson, DO
• Charissa Sarah Johnson
• Chelsea A Johnson, SLP
• Chenaya Johnson
• Christina Johnson, L.E.
• Christine K Johnson
• Christine M. Johnson, MSN, ANP-BC, PMHNP

• Licensed Practical Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.