SCOTT CHARLES JOHNSON (NPI# 1033630033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033630033 |
| Entity Type | Individual |
| Full Name | SCOTT CHARLES JOHNSON |
| Credential | LAC RADT-1 |
| Practice Address |
40853 Cecina Way Bermuda Dunes CA 92203-1171 |
| Practice Telephone | 17604063646 |
| Mailing Telephone | 17604063646 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1305 | ND | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7885 Annandale Ave, Desert Hot Springs, CA 922401419 | 7603292924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
| 1487106753 | Scott Johnson | Counselor | 104 Usher St, Bennettsville, SC 29512-2710 | 2016-11-02 |
| 1861840738 | Scott Johnson | Contractor | 6139 S Garrison St, Littleton, CO 80123-3437 | 2016-06-01 |
| 1861893984 | Scott Andrew Johnson | Social Worker | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 | 2014-09-08 |
| 1376825356 | Scott Andrew Johnson | Physical Therapist | 51600 Huntington Rd Ste B, La Pine, OR 97739-8887 | 2011-09-15 |
| 1801125075 | Scott Rene Johnson | Pharmacist | 6803 Pinehearth Ct, Spring, TX 77379 | 2009-12-16 |
| 1437367919 | Scott Alan Johnson | Physical Therapist | 91 Goldengate Drive, Centerville, OH 45459 | 2007-05-18 |
| 1063629293 | Scott Marvin Johnson | Pharmacist | 15100 N 90th St, Scottsdale, AZ 85260-2769 | 2007-05-17 |
| 1275740458 | Scott Johnson | Marriage & Family Therapist | 920 Nellies Cave Rd, Blacksburg, VA 24060-6029 | 2007-05-17 |
| 1376660282 | Scott Johnson | Marriage & Family Therapist | 16225 Ne 87th St, A-6, Redmond, WA 98052-3536 | 2007-03-24 |
| Street Address |
40853 CECINA WAY |
| City | BERMUDA DUNES |
| State | CA |
| Zip Code | 92203-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372469 | Juan Edwin Brionesgarcia | Respiratory Therapist, Registered | 82820 Mount Riley Drive, Indio, CA 92203 | 2018-10-22 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568718849 | John R Bellinger | Psychologist | 81135 Avenida Pamplona, Indio, CA 92203 | 2012-07-24 |
| 1952666497 | Lindsay Castle | Physical Therapy Assistant | 83894 Avenida Serena, Indio, CA 92203 | 2012-07-11 |
| 1477819829 | Salvador Cuellar Hernandez | Family Medicine | 82900 Avenue 42nd Suite G-101, Indio, CA 92203 | 2012-04-10 |
| 1720299118 | Deborah Ann Urquhart | Speech-Language Pathologist | 81578 Camino El Triunfo, Indio, CA 92203 | 2007-05-25 |
| 1467672345 | Herr-kostic Medical Group Inc. | Internal Medicine | 41-120 Washington St, Suite 101, Bermuda Dunes, CA 92203 | 2007-04-26 |
| 1891828141 | Paula M Defrees | Physical Medicine & Rehabilitation | 70-078 Country Club Dr., Suite 205, Bermuda Dunes, CA 92203 | 2007-03-14 |
| 1851467344 | William Young Carlson | Physical Therapist | 79380 Bowden Drive, Bermuda Dunes, CA 92203 | 2006-11-27 |
| 1831593581 | Armando Robles | Behavioral Analyst | 47915 Oasis St, Indio, CA 92203 | 2014-10-09 |
| Find all providers in zip 92203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | BERMUDA DUNES |
| Zip Code | 92203 |
Please comment or provide details below to improve the information on SCOTT CHARLES JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.