TINA MARIE JOHNSON (NPI# 1073958070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073958070 |
| Entity Type | Individual |
| Full Name | TINA MARIE JOHNSON |
| Other Name | TINA MARIE PINEDA |
| Credential | FNP-BC |
| Practice Address |
1300 S Pacific Coast Hwy Suite 201 Redondo Beach CA 90277-5003 |
| Practice Telephone | 3105437779 |
| Mailing Telephone | 3105437779 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22927 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE | 483629 | 01 |
| CA | NURSE PRACTITIONER | 22927 | 01 |
| CA | FURNISHING | 22927 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583952 | Tina Johnson | Technician | 209 Queen St, Beckley, WV 25801-6415 | 2020-09-22 |
| 1740896240 | Tina Johnson | Home Health Aide | 1601 Garth Rd Apt 3011, Baytown, TX 77520-2378 | 2020-09-20 |
| 1740895531 | Tina Lashay Johnson | Contractor | 5511 Monroe Rd Ste 206, Charlotte, NC 28212-5503 | 2020-09-09 |
| 1811460256 | Tina Johnson | Counselor | 2008 Oak Grove Rd Apt 10, Hattiesburg, MS 39402-1416 | 2019-01-08 |
| 1053881391 | Tina Johnson | Technician | 5370 Miller Rd # C-33, Swartz Creek, MI 48473-1540 | 2018-11-29 |
| 1740779339 | Tina Johnson | Technician | 200 Q St Ne Apt 2110, Washington, DC 20002-2386 | 2018-05-09 |
| 1831692409 | Tina Morris Johnson | Physical Therapist | 2760 W Walker St, League City, TX 77573-3398 | 2018-03-09 |
| 1497287809 | Tina Louise Johnson | Counselor | 924 W Atlantic St, South Hill, VA 23970-1825 | 2017-04-03 |
| 1043602022 | Tina Johnson | Registered Nurse | 1084 Glide St, Rochester, NY 14606-2751 | 2015-02-27 |
| 1417355454 | Tina Johnson | Specialist | 4 Windsor Pl, Lynbrook, NY 11563-3724 | 2014-12-08 |
| Street Address |
1300 S PACIFIC COAST HWY SUITE 201 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174620215 | Laci D Hendricks | Chiropractor | 1300 S Pacific Coast Hwy, Redondo Beach, CA 90277-5003 | 2006-09-20 |
| 1639578164 | Goodlife Chiropractic | Chiropractor | 1300 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-5003 | 2014-08-20 |
| 1497088074 | David Elie Carry | Chiropractor | 1300 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-5003 | 2009-09-14 |
| 1336391101 | Jennifer Rebecca Shulman | Acupuncturist | 1300 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-5003 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273385 | Kia Jean Sonne | Nurse Practitioner | 2407 Mathews Ave Unit B, Redondo Beach, CA 90278-3284 | 2020-10-22 |
| 1801368626 | Ashley Beth Ciccarello | Nurse Practitioner | 1718 Esplanade Apt 524, Redondo Beach, CA 90277-5339 | 2018-12-18 |
| 1447667886 | Maria Paz Goco Reyes | Nurse Practitioner | 1700 Wollacott St, Redondo Beach, CA 90278-2836 | 2014-07-17 |
| 1619904760 | Judith Ann Johnson | Nurse Practitioner | 205 S Francisca Ave, #4, Redondo Beach, CA 90277-3354 | 2006-06-26 |
| 1811530959 | Sokmom Lim Ung | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2019-10-22 |
| 1740849967 | Diana Marjan Yashar | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2019-06-11 |
| 1992218101 | Redondo Beach Physical Medicine | Nurse Practitioner | 901 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277-2162 | 2017-11-09 |
| 1912444225 | Eva Li | Nurse Practitioner | 502 Torrance Blvd, Redondo Beach, CA 90277 | 2017-01-24 |
| 1750795902 | Joanne Ostrea Pasco | Nurse Practitioner | 502 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2014-06-16 |
| 1336585819 | Josephine Reyes Cabugnason | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2013-05-10 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on TINA MARIE 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.