Individual provider Active NPI

Christine Mari Johnson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1790408045
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95018084 Issued in CA
Practice address
302 W la Veta Ave Ste 202
Orange, CA 92866-2607
Phone
(714) 545-5550
NPI assigned
Sep 21, 2022
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018084 CA Primary

Addresses

Primary practice location

302 W la Veta Ave Ste 202
Orange, CA 92866-2607

Mailing address

3502 Belle River Dr
Hacienda Heights, CA 91745-6116
Phone (626) 465-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104002105 CA Practitioner - Nurse Practitioner 1355711540 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Neuropsychiatric Specialists IncGroup PAC ID 3375796170, 70 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

302 W la Veta Ave
Suite 202
Orange, CA 92866-2607
Phone 7145455550810

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20022CAMDOccupational Therapist
95018084CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Neuropsychiatric Specialists Inc. CurrentSince Nov 6, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 1, 2022 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Oct 1, 2023 Accepting new patients
Geri Connection CurrentSince Oct 1, 2023 Accepting new patients
Bay View Health Solutions CurrentSince Mar 3, 2025 Accepting new patients
Myndfull Care Management California PC CurrentSince Oct 1, 2023 Accepting new patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 1, 2022 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince Dec 4, 2023 Accepting new patients
Myndfull Care California PC CurrentSince Feb 18, 2024 Accepting new patients
Market Pharmacy LLC PastSince Sep 5, 2023 Accepting new patients
JRD Medical Group Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

900 S Main St
Ste 209
Corona, CA 92882
Phone (909) 371-1777

3151 Airway Ave
Ste G1
Costa Mesa, CA 92626
Phone (949) 706-5215

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

19671 Beach Blvd
Ste 215
Huntington Beach, CA 92648

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

26024 Acero
Mission Viejo, CA 92691
Phone 7145455550809

24100 Monroe Ave
Murrieta, CA 92562
Phone (951) 302-1122

302 W La Veta Ave
Ste 202
Orange, CA 92866
Phone 7145455550810

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

999 N Tustin Ave
Ste 216
Santa Ana, CA 92705
Phone (714) 627-9190

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1790408045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 BELLE RIVER DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456116",
            "telephone_number": "626-465-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE STE 202",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "714-545-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "middle_name": "MARI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.