Active NPI
Zachary James Johnson, PT
- Licensed Psychiatric Technician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 36619
- Practice address
- 2531 W Woodland Dr
Anaheim, CA 92801 - Phone
- (714) 226-9888
- Fax
- (714) 226-9887
- NPI assigned
- May 14, 2013
- Last updated
- Jan 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 36619 | CA | Primary |
Addresses
Primary practice location
2531 W Woodland Dr
Anaheim, CA 92801
Mailing address
2531 W Woodland Dr
Anaheim, CA 92801-2637
Phone (714) 226-9888
Other practice location 1
3853 Rosecrans St
San Diego, CA 92110-3115
Phone (619) 692-8226
Other practice location 2
615 W Civic Center Dr Fl 2
Santa Ana, CA 92701
Phone (714) 361-7950
Other practice location 3
2531 W Woodland Dr
Anaheim, CA 92801
Phone (714) 226-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Amhs Telecare Comprehensive Fact FSP
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
- NPI 1801159389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1144666413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2531 W WOODLAND DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012637",
"telephone_number": "714-226-9888",
"fax_number": "714-226-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 W WOODLAND DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "714-226-9888",
"fax_number": "714-226-9887"
}
],
"practiceLocations": [
{
"address_1": "3853 Rosecrans St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921103115",
"country_code": "US",
"telephone_number": "619-692-8226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 W Civic Center Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "92701",
"country_code": "US",
"telephone_number": "714-361-7950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2531 W Woodland Dr",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92801",
"country_code": "US",
"telephone_number": "714-226-9888",
"fax_number": "714-226-9887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ZACHARY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "36619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.