Active NPI
Roshawnda Eleria Johnson, ACSW, MSW
- Student in an Organized Health Care Education/Training Program
- Corcoran, CA
National Provider Identifier
1891478574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 900 Quebec Ave
Corcoran, CA 93212-9715 - Phone
- (559) 992-7111
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
900 Quebec Ave
Corcoran, CA 93212-9715
Mailing address
21711 S Figueroa St
Apt 417
Carson, CA 90745
Phone (248) 872-7829
Other practice location 1
5555 Ferguson Dr Fl 2
Commerce, CA 90022-5133
Phone (248) 872-9999
Other practice location 2
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (121) 374-2587
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": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1891478574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21711 S FIGUEROA ST",
"address_2": "APT 417",
"city": "CARSON",
"state": "CA",
"postal_code": "90745",
"telephone_number": "248-872-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 QUEBEC AVE",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932129715",
"telephone_number": "559-992-7111"
}
],
"practiceLocations": [
{
"address_1": "5555 Ferguson Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900225133",
"country_code": "US",
"telephone_number": "248-872-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 S Grand Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153010",
"country_code": "US",
"telephone_number": "121-374-2587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROSHAWNDA",
"middle_name": "ELERIA",
"credential": "ACSW, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.