Darryl Lateef II Johnson II

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

D3375069 Issued in CA

Practice address

9121 Darwin Rd
Phelan, CA 92371-9294

Phone

(213) 800-9815

NPI assigned

Apr 27, 2026

Last updated

Apr 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bearsify LLC

  • Durable Medical Equipment & Medical Supplies
  • Phelan, CA
  • NPI 1801758230
  NPD Authorized official
• Formulation Materials

  • Durable Medical Equipment & Medical Supplies
  • Phelan, CA
  • NPI 1609712728
  NPD
• Valencure LLC

  • Durable Medical Equipment & Medical Supplies
  • Phelan, CA
  • NPI 1881528776
  NPD

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1821934217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 DARWIN RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923719294",
            "telephone_number": "213-800-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 DARWIN RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923719294",
            "telephone_number": "213-800-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DARRYL LATEEF II",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "D3375069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivek S Gill, MD
• Aida Girma
• Helps Here
• Teagen Fox Horn-Tollack
• J.Caballero D.D.S., Inc
• Dipak A Katbamna, DDS
• Grace Jung Kim
• Kimberly Ann Loza
• Michael Khanh Luu, RPH
• Nicole Magana

• Durable Medical Equipment & Medical Supplies in Phelan, CA
• Providers in Phelan, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.