Active NPI
Lashanna Johnson, LVN
- Child Abuse Pediatrics Physician
- Oakland, CA
National Provider Identifier
1215806054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Abuse Pediatrics Physician
- License
- 721686
- Practice address
- 609 Catron Dr
Oakland, CA 94603-3654 - Phone
- (510) 753-8566
- NPI assigned
- Oct 31, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child Abuse Pediatrics Physician | 2080C0008X | 721686 | CA | Primary |
Addresses
Primary practice location
609 Catron Dr
Oakland, CA 94603-3654
Mailing address
2500 Fairmont Dr
Castro Valley, CA 94578-1005
Phone (510) 753-8566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721686 | CA | MD | Child Abuse Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1215806054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FAIRMONT DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945781005",
"telephone_number": "510-753-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 CATRON DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946033654",
"telephone_number": "510-753-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LASHANNA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080C0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "CA",
"license": "721686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.