Active NPI
Dylan Keahi Johnson
- Counselor
- Fallbrook, CA
National Provider Identifier
1508550864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1803 Santa Margarita Dr
Fallbrook, CA 92028-1644 - Phone
- (310) 292-1153
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1803 Santa Margarita Dr
Fallbrook, CA 92028-1644
Mailing address
1803 Santa Margarita Dr
Fallbrook, CA 92028-1644
Phone (310) 292-1153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1508550864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 SANTA MARGARITA DR",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920281644",
"telephone_number": "310-292-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 SANTA MARGARITA DR",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920281644",
"telephone_number": "310-292-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DYLAN",
"middle_name": "KEAHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.