Individual provider Active NPI

Tonesha Johnson

  • Community Health Worker
  • Upland, CA
National Provider Identifier
1841189164
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1933 W 11TH St
Upland, CA 91786-3557
Phone
(951) 682-0088
Fax
(888) 909-4209
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1933 W 11TH St
Upland, CA 91786-3557

Mailing address

5225 Canyon Crest Dr Ste 71-413
Riverside, CA 92507-6301
Phone (951) 901-8105

Other practice location 1

651 E 55th St
Los Angeles, CA 90011-4637
Phone (323) 300-8581

Other practice location 2

3314 W 66th St
Los Angeles, CA 90043-4303
Phone (323) 306-6092

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Path Center CurrentSince Jul 9, 2025 Accepting new patients

Locations

5225 Canyon Crest Dr
Ste 71413
Riverside, CA 92507

1933 W 11th St
Upland, CA 91786
Phone (951) 682-0088

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1841189164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR STE 71-413",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076301",
            "telephone_number": "951-901-8105",
            "fax_number": "888-909-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W 11TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863557",
            "telephone_number": "951-682-0088",
            "fax_number": "888-909-4209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 E 55th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900114637",
            "country_code": "US",
            "telephone_number": "323-300-8581",
            "fax_number": "888-909-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3314 W 66th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900434303",
            "country_code": "US",
            "telephone_number": "323-306-6092",
            "fax_number": "888-909-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TONESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.