John Randolph Washington Sr., RADT 1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RADT1 Issued in CA

Practice address

1905 Apple St
Oceanside, CA 92054-4455

Phone

(760) 453-1280

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

No

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1184116154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 APPLE ST.",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "619-602-3139",
            "fax_number": "760-547-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 APPLE ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544455",
            "telephone_number": "760-453-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Apple Street",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92054",
            "country_code": "US",
            "telephone_number": "619-547-1280",
            "fax_number": "760-547-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Apple Street",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92054",
            "country_code": "US",
            "telephone_number": "619-547-1280",
            "fax_number": "760-547-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JOHN",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RADT 1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RADT1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Leroy Warner Jr.
• Brenton Anthony Warren, RN, PHN
• Arthur Benjamin Warshawsky, MD
• Ariana Casiano Washington, DPT
• Crystal Elexus Washington
• Wael Wassef
• Scott Allen Waters, RADT-1
• Bryan Michael Watkins
• Jessica Ann Watson, R.N.
• Danielle Watts

• Addiction (Substance Use Disorder) Counselor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.