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MATTISON BROOKE JOHNSON I LVN
NPI 1710535687
Technician - Attendant Care Provider in La Mesa, CA

Active since September 03, 2019
8615 FLETCHER PKWY UNIT 406, LA MESA, CA 91942(209) 570-6823 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2020, Sep 3, 2019 (2 updates tracked since 2019).

About Mattison Brooke Johnson I Lvn NPPES

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

MATTISON BROOKE JOHNSON I LVN (NPI 1710535687) is an individual attendant care provider provider in La Mesa, California and active in the NPI registry since September 2019. She maintains a secondary practice location in Ewa Beach.

NPPES Registry Identity

NPI1710535687
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMATTISON BROOKE JOHNSON ICredential: LVN
Location Address8615 FLETCHER PKWY UNIT 406La Mesa, CA 91942-5205
Mailing Address8615 Fletcher Pkwy Unit 406La Mesa, CA 91942-5205 · (209) 570-6823
Phone(209) 570-6823
Sole ProprietorYes
Enumeration DateSeptember 3, 2019
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1710535687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 696096 (CA)
8615 FLETCHER PKWY UNIT 406, La Mesa, CA 91942
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Secondary Practice Location 1

Location 16741 108th St # AEwa Beach, HI 96706-3318 · Phone (209) 570-6823

Other Identifiers 1

OtherF5653277CA · Driver License

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 Mattison Johnson's NPI number?

The NPI number for Mattison Johnson is 1710535687. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Mattison Johnson located?

Mattison Johnson practices at 8615 Fletcher Pkwy Unit 406, La Mesa, CA 91942. The listed phone number is (209) 570-6823.

What is Mattison Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Mattison Johnson was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.