JAMES JOHNSON III RD
NPI 1114816295
Dietitian, Registered in Stockton, CA

Active since July 02, 2025
2349 N CALIFORNIA ST, STOCKTON, CA 95204(209) 469-2229 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Johnson Iii Rd NPPES

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

JAMES JOHNSON III RD (NPI 1114816295) is an individual dietitian, registered in Stockton, California and active in the NPI registry since July 2025. The provider is a graduate of Other (2025).

NPPES Registry Identity

NPI1114816295
Entity TypeIndividual
Primary Taxonomy133V00000X
Provider Legal NameJAMES JOHNSON IIICredential: RD
Location Address2349 N CALIFORNIA STStockton, CA 95204-5505
Mailing Address1312 Russell StBerkeley, CA 94702-2433
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 1, 2025
NPI 1114816295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2349 N CALIFORNIA ST, Stockton, CA 95204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James Johnson Iii Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901381441
PECOS Enrollment IDI20260401002772

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Community Health Worker
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Psychiatry & Neurology (Psychiatry)
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Clinic/Center (Federally Qualified Health Center (FQHC))
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Pediatrics
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Dietitian, Registered
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Pediatrics
2349 N CALIFORNIA ST
STOCKTON, CA 95204
Pediatrics
2349 N CALIFORNIA ST
STOCKTON, CA 95204

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 James Johnson's NPI number?

The NPI number for James Johnson is 1114816295. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is James Johnson located?

James Johnson practices at 2349 N California St, Stockton, CA 95204. The listed phone number is (209) 469-2229.

What is James Johnson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is James Johnson enrolled in Medicare?

Yes. James Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Johnson was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.