Pamela Johnson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86020548 Issued in CA

Practice address

29970 Technology Dr Ste 118
Murrieta, CA 92563-2647

Phone

(508) 410-2628

NPI assigned

Apr 3, 2023

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Massachusetts Medical School, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Temecula Dietitians, Inc.

  • Registered Dietitian
  • Murrieta, CA
  • NPI 1104495431

  Dietitian, Registered

  Medicare reassignment NPD
• Dr Brooke Bellomio Psychologist Apc

  • Community/Behavioral Health Agency
  • Carlsbad, CA
  • NPI 1194696617
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1376248849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 118",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "508-410-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 118",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "508-410-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86020548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrisha Johnson
• Koe H Johnson, O.D,
• Mackenzie Johnson
• Maliya Alexandra Johnson
• Michael Johnson
• Sarah Johnson
• Sharon Johnson
• Terree Johnson
• Vance Zachary Johnson, M.D.
• Victoria Johnson, M.S.

• Registered Dietitian in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.