Debora L Johnson, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU1411 Issued in CA

Practice address

1700 Alameda St
Pomona, CA 91768-1727

Phone

(909) 397-9247

Fax

(909) 397-9248

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Hearing Clinic & Speech Health Services & Sales, Inc.

  • Hearing and Speech Clinic/Center
  • Pomona, CA
  • NPI 1942356027

  Audiologist

  NPD (past)
• Hearing Dynamic Enterpris Inc.

  • Audiologist
  • Pomona, CA
  • NPI 1649366501
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972658862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 RAINTREE CIR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304477",
            "telephone_number": "213-309-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALAMEDA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681727",
            "telephone_number": "909-397-9247",
            "fax_number": "909-397-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0014110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne J .Kim DDS Inc
• Zeilyn Joe, MSW
• John M. Allen DMD Inc
• John Sasaki MD Inc
• Clanisha Johnson
• Deborah Alejandra Johnson, MFT
• Fawntasia Johnson
• Genesis Johnson
• Hallee Johnson
• Ian S Johnson, N/A

• Audiologist in Pomona, CA
• Providers in Pomona, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.