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MRS. JOHNNIE GAYLE JAVIDAN FNP-C
NPI 1144677592
Nurse Practitioner - Family in La Jolla, CA

Active since May 16, 2016
7720 FAY AVE., LA JOLLA, CA 92037(858) 454-2700 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Johnnie Gayle Javidan Fnp-c NPPES

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

MRS. JOHNNIE GAYLE JAVIDAN FNP-C (NPI 1144677592) is an individual family provider in La Jolla, California, licensed in California (95003116) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1144677592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JOHNNIE GAYLE JAVIDANCredential: FNP-C
Location Address7720 FAY AVE.La Jolla, CA 92037
Mailing Address7720 Fay Ave.La Jolla, CA 92037 · (858) 454-2700
Phone(858) 454-2700
Sole ProprietorNo
Enumeration DateMay 16, 2016
✔ NPI 1144677592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95003116
7720 FAY AVE., La Jolla, CA 92037
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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 Johnnie Javidan's NPI number?

The NPI number for Johnnie Javidan is 1144677592. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Johnnie Javidan located?

Johnnie Javidan practices at 7720 Fay Ave., La Jolla, CA 92037. The listed phone number is (858) 454-2700.

What is Johnnie Javidan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Johnnie Javidan was last updated on May 16, 2016. 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.