Damaria Antionette Johnson

Primary specialty

DriverTaxonomy code 172A00000X

License

F4286983 Issued in CA

Practice address

1215 Armorlite Dr Apt 120
San Marcos, CA 92069-1397

Phone

(213) 910-9174

NPI assigned

Aug 3, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crescent City Care Transportation

  • Non-emergency Medical Transport (VAN)
  • Vista, CA
  • NPI 1962155705
  NPD Authorized official
• Star Developmental Services, Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Vista, CA
  • NPI 1598448508
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1508476730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 POSTAL WAY # 1690",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836915",
            "telephone_number": "213-910-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ARMORLITE DR APT 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691397",
            "telephone_number": "213-910-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAMARIA",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "F4286983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jogoleff-Olstad, BCBA
• Johannes M Neuendorf DO Inc
• John C. Nosti Dental Corporation
• Bethany Anne Johnson
• Cynthia Lee Johnson, PHARM.D
• Ellie Johnson
• James H Johnson III, DDS
• Sarah Johnson
• Cassandra Rene Johnston
• Brad Howland Jones, P.T., C.S.C.S.

• Driver in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Driver in California

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