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CHAD ELIJAH JOHNSON
NPI 1619772506
Clinical Nurse Specialist - Gerontology in Santa Cruz, CA

Active since February 15, 2025
1555 SOQUEL DR, SANTA CRUZ, CA 95065(831) 462-7350 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Chad Elijah Johnson NPPES

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

CHAD ELIJAH JOHNSON (NPI 1619772506) is an individual gerontology provider in Santa Cruz, California, licensed in California (5184) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1619772506
Entity TypeIndividualMale
Primary Taxonomy364SG0600X
Provider Legal NameCHAD ELIJAH JOHNSON
Location Address1555 SOQUEL DRSanta Cruz, CA 95065-1705
Mailing Address7610 Hihn RdBen Lomond, CA 95005-9615 · (559) 284-5244 · Fax (559) 284-5244
Phone(831) 462-7350
Sole ProprietorNo
Enumeration DateFebruary 15, 2025
NPPES CertifiedFebruary 15, 2025
✔ NPI 1619772506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in CA · 5184
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95169322 (CA)
1555 SOQUEL DR, Santa Cruz, CA 95065
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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.

MARK LAWRENCE RIGLER MD
Anesthesiology
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (831) 462-7700
ELIZABETH JEAN MCINTIRE
Registered Nurse (Psychiatric/Mental Health, Adult)
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (831) 462-7719
DR. JOHN GRADY D.O.
Emergency Medicine
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (831) 462-7700
KELSEY LYNN MCKENNA DO
Student in an Organized Health Care Education/Training Program
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (831) 462-7296
CECILIA LENG DO
Student in an Organized Health Care Education/Training Program
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (931) 462-7296
CHRISTOPHER JOHN WESSELMAN M.D
Emergency Medicine
1555 SOQUEL DR, DOMINICAN HOSPITAL EMERGENCY DEPT
SANTA CRUZ, CA 95065
Santa Cruz County (831) 462-7710
JAMES DOUGLAS BERGUM CCP
Perfusionist
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (855) 489-4580
KATHLEEN DEMPSEY
Nurse Practitioner
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Santa Cruz County (831) 462-7730

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 Chad Johnson's NPI number?

The NPI number for Chad Johnson is 1619772506. It was assigned to this individual provider in the NPPES registry on February 15, 2025.

Where is Chad Johnson located?

Chad Johnson practices at 1555 Soquel Dr, Santa Cruz, CA 95065. The listed phone number is (831) 462-7350.

What is Chad Johnson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Chad Johnson was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.