MR. GARY JOHNSON
NPI 1083085369
Assisted Living Facility in Lancaster, CA

Q: What is Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1083085369. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Q: What is Gary Johnson's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 13, 2015

1539 W AVENUE L12, LANCASTER, CA 93534(661) 948-1275(661) 902-6985 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Gary Johnson NPPES

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

MR. GARY JOHNSON (NPI 1083085369) is an individual assisted living facility provider in Lancaster, California, licensed in California (197605271) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1083085369

Entity TypeIndividualMale

Primary Taxonomy310400000X

Provider Legal NameMR. GARY JOHNSON

Location Address1539 W AVENUE L12Lancaster, CA 93534-6930

Mailing Address1539 W Avenue L12Lancaster, CA 93534-6930 · (661) 948-1275 · Fax (661) 902-6985

Phone(661) 948-1275

Fax(661) 902-6985

Sole ProprietorYes

Enumeration DateOctober 13, 2015

✔ NPI 1083085369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 197605271

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1539 W AVENUE L12, Lancaster, CA 93534

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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 Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1083085369. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Gary Johnson located?

Gary Johnson practices at 1539 W Avenue L12, Lancaster, CA 93534. The listed phone number is (661) 948-1275.

What is Gary Johnson's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.