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SCOTT DAVID JOHNSON
NPI 1083379903
Counselor - Addiction (Substance Use Disorder) in Bloomington, CA

Active since November 04, 2021
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316(909) 421-7120 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2026, Jul 20, 2023, Nov 4, 2021 (3 updates tracked since 2021).

About Scott David Johnson NPPES

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

SCOTT DAVID JOHNSON (NPI 1083379903) is an individual addiction (substance use disorder) provider in Bloomington, California, licensed in California (CI49801225) and active in the NPI registry since November 2021. He maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1083379903
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSCOTT DAVID JOHNSON
Location Address18612 SANTA ANA AVEBloomington, CA 92316-2639
Mailing Address3050 Dundee AveHighland, CA 92346-1803 · (909) 838-9616
Phone(909) 421-7120
Sole ProprietorYes
Enumeration DateNovember 4, 2021
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1083379903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CI49801225
18612 SANTA ANA AVE, Bloomington, CA 92316
Open in Google Maps ↗

Secondary Practice Location 1

Location 1939 N D StSan Bernardino, CA 92410-3519 · Phone (909) 889-6519

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

GEORGINA LISA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
MR. JAMES B ENTZ MFT
Marriage & Family Therapist
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KEIANA DOBSON
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
SAMANTHA PINEDA
Licensed Vocational Nurse
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (840) 220-9529
NICHOLAS SMITH
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
TAMMY AHUMADA
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KENNEDY ODERO
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
LEAH BOYD
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120

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 Scott Johnson's NPI number?

The NPI number for Scott Johnson is 1083379903. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Scott Johnson located?

Scott Johnson practices at 18612 Santa Ana Ave, Bloomington, CA 92316. The listed phone number is (909) 421-7120.

What is Scott Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Johnson was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.