MR. TREVOR RUSSELL JOHNSON (NPI# 1609102698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609102698 |
| Entity Type | Individual |
| Full Name | MR. TREVOR RUSSELL JOHNSON |
| Credential | OTC |
| Practice Address |
320 Santa Fe Dr Ste 301 Encinitas CA 92024-5140 |
| Mailing Address |
6619 Bell Bluff Ave San Diego CA 92119-1148 |
| Practice Telephone | 7606334700 |
| Practice Fax Number | 7606354344 |
| Mailing Telephone | 6197469194 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
OTC 09-0802 | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101768 | Trevor J Johnson | Physical Therapy Assistant | 6020 W Parker Rd Ste 300, Plano, TX 75093-8177 | 2018-07-25 |
| 1912208646 | Trevor Johnson | Social Worker | 3575 Macon Rd Ste 731907, Columbus, GA 31907-8200 | 2010-11-11 |
| 1760710735 | Trevor E Johnson | Anesthesiologist Assistant | 72 Village Way Ste 2b, Hudson, OH 44236-5127 | 2009-12-02 |
| 1952562514 | Trevor Gregg Johnson | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021 | 2008-06-17 |
| 1982711933 | Trevor Johnson | Physical Therapist | 610 Solarex Court, Frederick, MD 21703 | 2006-08-24 |
| 1023501707 | Trevor Jacob Johnson | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Hwy, New Orleans, LA 70121-2426 | 2018-06-07 |
| 1003278003 | Trevor A Johnson | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104 | 2016-03-28 |
| 1568841609 | Trevor Allen Johnson | Physical Therapist | 1510 Collingwood Rd, Alexandria, VA 22308-1605 | 2015-05-21 |
| 1679860357 | Trevor B Johnson | Social Worker | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2011-07-01 |
| 1699093963 | Trevor Johnson | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2010-05-12 |
| Street Address |
320 SANTA FE DR STE 301 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567734 | Kyle Michael Barefield | Specialist/Technologist, Other | 320 Santa Fe Dr Ste 301, Encinitas, CA 92024-5140 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128312 | Josue Alejandro Villa Ruiz | Specialist/Technologist, Other | 2600 Skyline Dr, Signal Hill, CA 90755-3823 | 2020-06-11 |
| 1407416142 | Leonardo Luis Ruiz Medina | Specialist/Technologist, Other | 1219 24th St, San Diego, CA 92102-2011 | 2019-06-14 |
| 1952868549 | Erick Alfredo Nunez | Specialist/Technologist, Other | 1831 Canal St, San Diego, CA 92154-1160 | 2019-03-01 |
| 1730645425 | Betzabe Sonaly Wintermute | Specialist/Technologist, Other | 29019 Shadow Valley Ln, Santa Clarita, CA 91390-1290 | 2019-02-18 |
| 1518423755 | Luis Alberto Chaviedo | Specialist/Technologist, Other | 2255 Orange St Apt 10, Highland, CA 92346-1868 | 2019-02-12 |
| 1730667486 | Iris Yamileth Ramos Pineda | Specialist/Technologist, Other | 2177 Stocker St, Pomona, CA 91767-2428 | 2018-08-03 |
| 1649768235 | Lizbeth Villegas | Specialist/Technologist, Other | 2401 Virginia Ave Apt 111, Santa Monica, CA 90404-5187 | 2018-04-29 |
| 1346738911 | Manuel Jose Lizarraga | Specialist/Technologist, Other | 1274 N Crescent Heights Blvd Apt 226, West Hollywood, CA 90046-5061 | 2018-04-28 |
| 1609389469 | Jose Jesus Zamudio Escamilla | Specialist/Technologist, Other | 9280 Big Ridge Rd, Riverside, CA 92509-4969 | 2017-11-14 |
| 1225549439 | Mayra Shirley Ponce Rodriguez | Specialist/Technologist, Other | 11261 Ratliffe St, Norwalk, CA 90650-2779 | 2017-10-14 |
| Find all providers with the same taxonomy | ||||
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| 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.