Active NPI
Sophia Johnson, RD
- Registered Dietitian
- Santa Maria, CA
National Provider Identifier
1457209710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86450308
- Practice address
- 235 Palisade Dr
Santa Maria, CA 93454 - Phone
- (805) 739-3561
- NPI assigned
- Mar 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86450308 | CA | Primary |
Addresses
Primary practice location
235 Palisade Dr
Santa Maria, CA 93454
Mailing address
3140 Lirio CT
San Luis Obispo, CA 93401-6917
Phone (541) 852-9629
Other practice location 1
316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908
Phone (805) 332-8446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1414 E Main St
Suite 201
Santa Maria, CA 93454-4890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
dba Marian Community Clinic
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1457209710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 LIRIO CT",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016917",
"telephone_number": "541-852-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PALISADE DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3561"
}
],
"practiceLocations": [
{
"address_1": "316 S Stratford Ave Ste B",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934545908",
"country_code": "US",
"telephone_number": "805-332-8446",
"fax_number": "805-332-8173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SOPHIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-20",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86450308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.