DR. CHARLES L JOHNSON (NPI# 1588767495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588767495 |
| Entity Type | Individual |
| Full Name | DR. CHARLES L JOHNSON |
| Credential | MD |
| Practice Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 8314544170 |
| Mailing Telephone | 8314544170 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
008048 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE UPIN# | D79235 | 01 | |
| MEDICAL LICENSE | G87816 | 01 | |
| DEA# | AJ6945818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
1400 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925526 | William C Falzett Jr. | Psychologist | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2005-07-09 |
| 1013518125 | Magali Eunice Arriaga Ortiz | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-11-04 |
| 1154920098 | Andromeda Marie Scheller | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-10-21 |
| 1124665286 | Jeremy Lansing | Social Worker | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-12-06 |
| 1013564806 | Amanda Lynett Travers | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-08-26 |
| 1144887928 | Nathan J Riera | Rehabilitation Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-28 |
| 1386201242 | Joseph Harris Price IIi | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-24 |
| 1841759305 | Julie Delophine Keller-olivas | Registered Nurse | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-03-14 |
| 1962981282 | Robert Antonio Gomez | Public Health or Welfare | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-08-08 |
| 1154808368 | Diana Marcela Eaton | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851863146 | Amy Renee Majan | Psychiatry & Neurology | 1400 Emeline Ave Ste K, Santa Cruz, CA 95060-1976 | 2018-12-26 |
| 1912212556 | Daniel L. Blumberg | Psychiatry & Neurology | 309 Cedar St., #26b, Santa Cruz, CA 95060 | 2010-08-06 |
| 1831415678 | James D. Weiss, Md | Psychiatry & Neurology | 624 Frederick St., Santa Cruz, CA 95062-2203 | 2010-04-19 |
| 1992918692 | Catherine M Borchert | Psychiatry & Neurology | 3333 Mission Drive, Santa Cruz, CA 95065 | 2007-05-08 |
| 1427172063 | Joseph None Weintraub | Psychiatry & Neurology | 1015 Center St, Santa Cruz, CA 95060-3703 | 2007-03-19 |
| 1679606719 | Kenneth Lowell Koenig | Psychiatry & Neurology | 217 National St, Santa Cruz, CA 95060-6518 | 2007-03-14 |
| 1780739706 | Ronald James Sager | Psychiatry & Neurology | 1663 Dominican Way Ste 214, Santa Cruz, CA 95065-1556 | 2007-01-23 |
| 1275608127 | Dennis St. Peter | Psychiatry & Neurology | 710 River St, Santa Cruz, CA 95060-2748 | 2006-11-22 |
| 1124030747 | Timothy Faust Myers | Psychiatry & Neurology | 550 Water Street, Building D2, Santa Cruz, CA 95060 | 2006-08-12 |
| 1285648535 | Darryl Everett Chagi | Psychiatry & Neurology | 1171 7th Ave, Santa Cruz, CA 95062-2714 | 2006-07-29 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on DR. CHARLES L 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.