DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT GARY JOHANNSEN

Active Sole Proprietor

ROBERT GARY JOHANNSEN is a Peer Specialist healthcare provider located in LAKE ISABELLA, California. NPI 1134099088 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · LAKE ISABELLA, CA

Registration Details

NPI Number
1134099088
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2025 (0.74418950884503 yrs)
Last Updated
Nov 6, 2025
License
MPSS-EKZJXM (CA)
Sole Proprietor
Yes

Practice Information

Address
2731 NUGGET AVE
LAKE ISABELLA, CA, 932409456
Browse CA providers · Browse ZIP 93240
Phone
7603793412
Fax
7603795332
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in LAKE ISABELLA, CA

Name Credential NPI
RACHEL IRENE SWANSON 1548802812
EMMA ROSE DEHN 1689349607
HANNAH MARIE REGISTER 1518610716
MS. BROOKE NYCOLE ATILANO 1649965799
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.