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PAMELA JOHNSON
NPI 1619860020
Custodial Care Facility in Santa Rosa, CA

Active since June 03, 2025
6360 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 836-7777(707) 838-0820 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Jun 3, 2025 (2 updates tracked since 2025).

About Pamela Johnson NPPES

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

PAMELA JOHNSON (NPI 1619860020) is an individual custodial care facility provider in Santa Rosa, California, licensed in California (4968013672) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1619860020
Entity TypeIndividualFemale
Primary Taxonomy311Z00000X
Provider Legal NamePAMELA JOHNSON
Location Address6360 OLD REDWOOD HWYSanta Rosa, CA 95403-1125
Mailing Address6360 Old Redwood HwySanta Rosa, CA 95403-1125 · (707) 836-7777 · Fax (707) 838-0820
Phone(707) 836-7777
Fax(707) 838-0820
Sole ProprietorYes
Enumeration DateJune 3, 2025
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1619860020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License✔ Licensed in CA · 4968013672
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
6360 OLD REDWOOD HWY, Santa Rosa, CA 95403
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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 Pamela Johnson's NPI number?

The NPI number for Pamela Johnson is 1619860020. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Pamela Johnson located?

Pamela Johnson practices at 6360 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 836-7777.

What is Pamela Johnson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Pamela Johnson was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.