Shandar Lee Johnson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

9228 Allano Way
Santee, CA 92071-2202

Phone

(619) 829-4584

NPI assigned

Aug 13, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1467063388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 SARANAC ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151747",
            "telephone_number": "619-829-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 ALLANO WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712202",
            "telephone_number": "619-829-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANDAR",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "B4559925",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Alyce Johnson, DPT
• Julia Wiscombe Johnson, LCSW
• Matthew Conrad Johnson, MA, AMFT 142969
• Noah Compton Johnson, MD
• Sarah Ellen Johnson, LVN
• Byron E Jones, PHARMD
• Christina I Jones, DC
• Mini Joseph, RN
• Jennyvi Aguila Jovellanos
• Clarissa Joyner, MFTCT

• Attendant Care Provider in Santee, CA
• Providers in Santee, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.