MR. LARRY WAYNE JOHNSON C.O.
NPI 1396983888
Specialist in San Diego, CA

Q: What is Larry Johnson's NPI number?

The NPI number for Larry Johnson is 1396983888. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Q: What is Larry Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Johnson was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 22, 2009

9570 RIDGEHAVEN CT, SUITE C, SAN DIEGO, CA 92123(858) 278-0518(858) 278-0323 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Larry Wayne Johnson C.o. NPPES

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

MR. LARRY WAYNE JOHNSON C.O. (NPI 1396983888) is an individual specialist in San Diego, California, licensed in California (CO2834) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1396983888

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. LARRY WAYNE JOHNSONCredential: C.O.

Location Address9570 RIDGEHAVEN CT, SUITE CSan Diego, CA 92123-1667

Mailing Address10723 Montego DrSan Diego, CA 92124-1910 · (858) 565-2230

Phone(858) 278-0518

Fax(858) 278-0323

Sole ProprietorNo

Enumeration DateJanuary 22, 2009

✔ NPI 1396983888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · CO2834

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9570 RIDGEHAVEN CT, San Diego, CA 92123

Open in Google Maps ↗

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 Larry Johnson's NPI number?

The NPI number for Larry Johnson is 1396983888. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Where is Larry Johnson located?

Larry Johnson practices at 9570 Ridgehaven Ct Suite C, San Diego, CA 92123. The listed phone number is (858) 278-0518.

What is Larry Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Larry Johnson was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.