Individual provider Active NPI

Elora Patrice San Juan Johnson, MSW, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1265023402
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94668 Issued in CA
Practice address
4835 Doyle Rd
San Jose, CA 95129-4319
Phone
(408) 874-3500
NPI assigned
Jan 31, 2021
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 94668 CA Primary
Clinical Social Worker 1041C0700X SW22385 FL

Addresses

Primary practice location

4835 Doyle Rd
San Jose, CA 95129-4319

Mailing address

4711 Campbell Ave
San Jose, CA 95130-1790
Phone (408) 874-2900

Other practice location 1

5140 Country Ln
San Jose, CA 95129-4217
Phone (408) 874-3400

Other names 1

  • Elora Patrice San Juan Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
94668CAMDClinical Social Worker
SW22385FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1265023402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CAMPBELL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301790",
            "telephone_number": "408-874-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 DOYLE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294319",
            "telephone_number": "408-874-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 Country Ln",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951294217",
            "country_code": "US",
            "telephone_number": "408-874-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN JUAN JOHNSON",
        "first_name": "ELORA",
        "middle_name": "PATRICE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94668",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELORA",
            "last_name": "SAN JUAN",
            "middle_name": "PATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.