MS. LISA YVONNE JOHNSON (NPI# 1285066753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285066753 |
| Entity Type | Individual |
| Full Name | MS. LISA YVONNE JOHNSON |
| Practice Address |
21828 Avalon Blvd Carson CA 90745-3303 |
| Mailing Address |
21828 S. Avalon Blvd Carson CA 90745 |
| Practice Telephone | 4244775225 |
| Practice Fax Number | 4244775146 |
| Mailing Telephone | 4244775225 |
| Mailing Fax Number | 4244775146 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01-139400 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
| 1336772771 | Lisa M Johnson | Nurse Practitioner | 3500 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006-2411 | 2020-02-13 |
| 1467084897 | Lisa S Johnson | Case Manager/Care Coordinator | 510 Exeter Pl, Lake Forest, IL 60045-1521 | 2020-02-04 |
| 1669002010 | Lisa Yvette Johnson | Health Educator | 4939 Pleasant Grove Dr, Wilmington, NC 28412-2288 | 2020-01-23 |
| 1235771064 | Lisa Johnson | Social Worker | 26 Pinto Ln, Palm Coast, FL 32164-7071 | 2019-10-14 |
| 1831661743 | Lisa Rebecca Johnson | Licensed Vocational Nurse | 2701 Lucille Dr Unit A, Killeen, TX 76549-1600 | 2018-12-18 |
| 1235600115 | Lisa Marie Johnson | Nurse Practitioner | 12114 Grey Rock Ln, Austin, TX 78750-1435 | 2018-12-17 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1306346291 | Lisa Johnson | Registered Nurse | 11244 Sundance Ave, El Paso, TX 79936-2322 | 2018-02-16 |
| 1265949796 | Lisa Johnson | Registered Nurse | 648 W M94, Skandia, MI 49885-9609 | 2018-01-05 |
| Street Address |
21828 AVALON BLVD |
| City | CARSON |
| State | CA |
| Zip Code | 90745-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437402203 | American Drug Recovery Program, Inc. | Community/Behavioral Health | 21828 Avalon Blvd, Carson, CA 90745-3303 | 2012-10-18 |
| 1689006561 | Montserrat Rivera Amlin | Counselor | 21828 Avalon Blvd, Carson, CA 90745-3303 | 2013-08-02 |
| 1790117505 | Laquandra M Mccree | Counselor | 21828 Avalon Blvd, Carson, CA 90745-3303 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1891269262 | Cesar Carrasco Dds Inc | Dentist | 21847 S Avalon Blvd, Carson, CA 90745 | 2019-01-18 |
| 1427557305 | Stephanie Yunjung Ha | Nurse Practitioner | 23517 S. Main St., Carson, CA 90745 | 2018-02-06 |
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1144676024 | Omid Barkhordar Dental Corporation | Dentist | 101 West Carson Street, Carson, CA 90745 | 2016-05-10 |
| 1255720652 | Sandy Mauricio | Physical Therapy Assistant | 1804 E 215th St, Carson, CA 90745 | 2015-01-22 |
| 1275948994 | United Urgent Care and Wellness Center, Inc. | Clinic/Center | 522 West Carson Street, Carson, CA 90745 | 2014-06-23 |
| 1184052805 | Jumana B Hanna | Pharmacist | 500 Carson Town Center Kmart 4987 Pharmacy, Carson, CA 90745 | 2013-10-15 |
| 1679912422 | David J Chon | Dentist | 612 E Carson St #101, Carson, CA 90745 | 2013-06-14 |
| 1942644133 | Seema M Dave | Optometrist | 150 W Carson Street, Cvs Optical, Carson, CA 90745 | 2013-04-18 |
| Find all providers in zip 90745 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467902064 | Johnny Perkins | Counselor | 18703 Mettler Ave, Carson, CA 90746-2150 | 2016-10-06 |
| 1023440591 | Ryan Joshua Bentick | Counselor | 21828 S. Avalon Blvd, Carson, CA 90745-3303 | 2013-08-06 |
| 1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
| 1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
| 1124371158 | Edwyn Onglay Hector | Counselor | 22519 Kinard Ave, Carson, CA 90745-3725 | 2012-10-15 |
| 1659698421 | Mayra Alexandra Giron | Counselor | 17701 Avalon Blvd, #300, Carson, CA 90746-1554 | 2010-05-03 |
| 1356667315 | Beverly Webb | Counselor | 434 W 223rd St, 105, Carson, CA 90745-3656 | 2010-04-15 |
| 1669709895 | Bassey Bassey Enun-abara | Counselor | 460 E Carson Plaza Dr Ste 119, Carson, CA 90746-3218 | 2009-11-09 |
| 1497906358 | Shana Powe | Counselor | 16316 Haskins Ln, Carson, CA 90746-1024 | 2008-10-08 |
| 1255580676 | Marcia Deeshai Zuric | Counselor | 637 E Albertoni St Ste 200, Carson, CA 90746-1543 | 2008-09-10 |
| Find all providers in CARSON | ||||
Please comment or provide details below to improve the information on MS. LISA YVONNE 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.