AMANDA JOHNSON
NPI 1023556255
Community Based Residential Treatment Facility, Mental Illness in Redwood City, CA
About Amanda Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA JOHNSON (NPI 1023556255) is an individual community based residential treatment facility, mental illness provider in Redwood City, California and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Johnson's NPI number?
The NPI number for Amanda Johnson is 1023556255. It was assigned to this individual provider in the NPPES registry on February 8, 2017.
Where is Amanda Johnson located?
Amanda Johnson practices at 1442 Valota Rd, Redwood City, CA 94061. The listed phone number is (650) 863-7825.
What is Amanda Johnson's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Is Amanda Johnson enrolled in Medicare?
Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Johnson reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Johnson was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amanda Johnson · NPI 1023556255
Community Based Residential Treatment Facility, Mental Illness provider in Redwood City, California. Individual provider, active in the CMS NPPES registry since February 8, 2017.
## Identity
- **NPI:** 1023556255 (Entity type: Individual)
- **Enumerated:** February 8, 2017
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1442 VALOTA RD, Redwood City, CA 94061-2620
- **Phone:** (650) 863-7825
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1023556255) · Data from the CMS NPPES public registry.