Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAMELA JOHNSON
Active Sole ProprietorPAMELA JOHNSON is a Custodial Care Facility healthcare provider located in SANTA ROSA, California. NPI 1619860020 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · SANTA ROSA, CA
Registration Details
- NPI Number
- 1619860020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2025 (1.2071216588947 yrs)
- Last Updated
- Aug 29, 2025
- License
-
4968013672 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6360 OLD REDWOOD HWYSANTA ROSA, CA, 954031125Browse CA providers · Browse ZIP 95403
- Phone
- 7078367777
- Fax
- 7078380820
- Primary Specialty
-
Custodial Care Facility
311Z00000X
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.