Active NPI
James Ernest Johnson III, RD
- Registered Dietitian
- Stockton, CA
National Provider Identifier
1114816295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86330715
- Practice address
- 2349 N California St
Stockton, CA 95204-5505 - Phone
- (209) 469-2229
- NPI assigned
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86330715 | CA | Primary |
Addresses
Primary practice location
2349 N California St
Stockton, CA 95204-5505
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other practice location 1
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 550-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4500 Business Ctr Dr
Fairfield, CA 94534
4500 Business Ctr Dr
Fairfield, CA 94534-6888
PO Box
Suite 255228
Sacramento, CA 95865
PO Box
Suite 255228
Sacramento, CA 95865-5228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1114816295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071",
"fax_number": "916-854-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045505",
"telephone_number": "209-469-2229"
}
],
"practiceLocations": [
{
"address_1": "600 Coffee Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953554201",
"country_code": "US",
"telephone_number": "209-550-3962",
"fax_number": "209-491-7528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMES",
"middle_name": "ERNEST",
"name_suffix": "III",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-02",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86330715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.