Bobbie Johnson, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

558850 Issued in CA

Practice address

12620 Cobalt Rd
Victorville, CA 92392-6277

Phone

(951) 743-7922

NPI assigned

Mar 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Bobbie Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1417373879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 COBALT RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926277",
            "telephone_number": "951-743-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 COBALT RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926277",
            "telephone_number": "951-743-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BOBBIE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "558850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIE",
            "last_name": "JOHNSON",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John D Amar MD Inc (Amar Medical Associates)
• Jamesina Johns, FNP-C, PMHNP
• Gail Evonne Johnson-McIntyre
• Anthony Johnson
• Beth Ann Johnson, FNP-C
• Ciara Johnson
• Daisha Johnson
• Felicia Evette Johnson
• Janneth Johnson
• Jo Jo Johnson

• Registered Nurse in Victorville, CA
• Providers in Victorville, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.