CRYSTAL D JOHNSON
NPI 1043823461
Prosthetic/Orthotic Supplier in Culver City, CA

Active since August 25, 2020
11140 JEFFERSON BLVD STE 7, CULVER CITY, CA 90230(310) 428-8309 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2022, Nov 14, 2021, Aug 25, 2020 (3 updates tracked since 2020).

About Crystal D Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL D JOHNSON (NPI 1043823461) is an individual prosthetic/orthotic supplier provider in Culver City, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1043823461
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameCRYSTAL D JOHNSON
Location Address11140 JEFFERSON BLVD STE 7Culver City, CA 90230-5522
Mailing Address10736 Jefferson Blvd # 775Culver City, CA 90230-4933 · (310) 428-8309
Sole ProprietorYes
Enumeration DateAugust 25, 2020
Last NPPES UpdateApril 10, 20223 updates tracked since enumeration
NPPES CertifiedApril 10, 2022
NPI 1043823461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X
11140 JEFFERSON BLVD STE 7, Culver City, CA 90230

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
11140 JEFFERSON BLVD STE 7
CULVER CITY, CA 90230

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 Crystal Johnson's NPI number?

The NPI number for Crystal Johnson is 1043823461. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Crystal Johnson located?

Crystal Johnson practices at 11140 Jefferson Blvd Ste 7, Culver City, CA 90230. The listed phone number is (310) 428-8309.

What is Crystal Johnson's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Crystal Johnson was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.