Vickie Johnson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1770 E 118TH St
Los Angeles, CA 90059-2518

Phone

(323) 980-6731

NPI assigned

Nov 14, 2023

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

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.

• Drew Child Cevelopment Corporation

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1780879890
  NPD (past)
• Drew Child Development Corporation

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1194926022
  NPD (past)

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1508630005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E 118TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592518",
            "telephone_number": "323-980-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E 118TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592518",
            "telephone_number": "323-980-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyjae Johnson
• Unique Johnson
• Valeria M Johnson
• Valerie Johnson, D.C.
• Vanessa Mae Johnson, MSW
• Waverly Johnson II
• Wendy Norene Johnson
• Whitney Darnetia Johnson, M.D.
• William Johnson
• Willishia M Johnson

• Community Health Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.