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BOB J JOHNSON DC
NPI 1285648402
Chiropractor in San Diego, CA

Active since July 27, 2006
9550 BLACK MOUNTAIN RD STE E, SAN DIEGO, CA 92126(858) 578-5776 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bob J Johnson Dc NPPES

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

BOB J JOHNSON DC (NPI 1285648402) is an individual chiropractor in San Diego, California, licensed in California (17721) and active in the NPI registry since July 2006. He is a graduate of Los Angeles College Of Chiropractic (1986).

NPPES Registry Identity

NPI1285648402
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBOB J JOHNSONCredential: DC
Location Address9550 BLACK MOUNTAIN RD STE ESan Diego, CA 92126-4577
Mailing Address10770 Black Mountain Rd Spc 277San Diego, CA 92126-2951 · (858) 863-6419
Phone(858) 578-5776
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1986
Enumeration DateJuly 27, 2006
Last NPPES UpdateApril 11, 2023
NPPES CertifiedNovember 24, 2021
✔ NPI 1285648402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 17721
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9550 BLACK MOUNTAIN RD STE E, San Diego, CA 92126
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bob J Johnson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799789251
PECOS Enrollment IDI20060914000429

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 Bob Johnson's NPI number?

The NPI number for Bob Johnson is 1285648402. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Bob Johnson located?

Bob Johnson practices at 9550 Black Mountain Rd Ste E, San Diego, CA 92126. The listed phone number is (858) 578-5776.

What is Bob Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bob Johnson enrolled in Medicare?

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

What insurance does Bob Johnson accept?

Health plans from Providence Health Plan list Bob Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bob Johnson was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.