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JAELYN JOHNSON MPH
NPI 1205674660
Rehabilitation Practitioner in San Diego, CA

Active since July 18, 2024
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110(619) 230-2004 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Jaelyn Johnson Mph NPPES

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

JAELYN JOHNSON MPH (NPI 1205674660) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1205674660
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameJAELYN JOHNSONCredential: MPH
Location Address3491 KURTZ ST STE 150San Diego, CA 92110-4430
Mailing Address3491 Kurtz St Ste 150San Diego, CA 92110-4430 · (619) 230-2004
Phone(619) 230-2004
Sole ProprietorNo
Enumeration DateJuly 18, 2024
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1205674660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3491 KURTZ ST STE 150, San Diego, CA 92110
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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.

MR. BRIAN KEITH RINGER
Case Manager/Care Coordinator
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
DANIEL CHRISTOPHER IANNITELLI
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
MARIANA TZOMES ACSW
Social Worker (Clinical)
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
JOELLE C. GUZMAN
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
ALISON RAMONA DECKER
Peer Specialist
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
SHIANN PLUMMER
Case Manager/Care Coordinator
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
BELINDA ANN NEWSOM SUDCC
Counselor (Addiction (Substance Use Disorder))
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
DEVIN BERSHION ALBERT SR.
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 361-4177

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 Jaelyn Johnson's NPI number?

The NPI number for Jaelyn Johnson is 1205674660. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Jaelyn Johnson located?

Jaelyn Johnson practices at 3491 Kurtz St Ste 150, San Diego, CA 92110. The listed phone number is (619) 230-2004.

What is Jaelyn Johnson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jaelyn Johnson was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.