Trevor Johnson, CWCII
Individual provider Active NPI Health & Wellness Coach · Windsor, CA
NPI 1417833153 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1417833153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- 4D2655479E (CA)
- Practice address
- 8695 Windsor Rd
Windsor, CA 95492-9511 - Phone
- (707) 837-7767
- NPI assigned
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4D2655479E | CA | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 4D2655479E | CA | Yes |
Addresses
Primary practice location
8695 Windsor Rd
Windsor, CA 95492-9511
Mailing address
8695 Windsor Rd
Windsor, CA 95492-9511
Phone (707) 837-7767
Other providers in Windsor, CA
- House of Inheritance, Inc.
- Pei-Shan Hsieh
- Aliezah Hulett
- Catherine Marie Jackson
- Jeffrey Iwami, OD, Inc
- Lisa Ann Keele
- Kimberly Lyons OD a Professional Optometric Corporation
- Laura Therese Kimbro
- Bonnie Kneibler
- Emily Kong
All providers in Windsor, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.