Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JOHNSON ETHELBAH, CMPSS
ActiveCHARLES JOHNSON ETHELBAH, CMPSS is a Peer Specialist healthcare provider located in CAMPO, California. NPI 1447125885 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CAMPO, CA
Registration Details
- NPI Number
- 1447125885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2025 (0.82575123532591 yrs)
- Last Updated
- Oct 7, 2025
- License
-
MPSS-ZKDUCT (CA)
Practice Information
- Address
-
1777 BUCKMAN SPRINGS RDCAMPO, CA, 919062022Browse CA providers · Browse ZIP 91906
- Phone
- 6194785696
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CAMPO, CA
| Name | Credential | NPI |
|---|---|---|
| JAMES DAVID ELKINS | — | 1851079248 |
| JOSE DE JESUS VILLA | RADT | 1528878287 |
| CHRISTOPHER LEE WRIGHT | CMPSS | 1902789621 |
| TRAVIS HAMBLIN | CMPSS | 1124904396 |
| ZACHARIAH RYAN BARRETT | CMPSS | 1326926643 |
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.