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ANDRE L JOHNSON
NPI 1730857871
Student in an Organized Health Care Education/Training Program in Tarzana, CA

Active since September 02, 2021
18646 OXNARD ST, TARZANA, CA 91356(818) 654-3908 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andre L Johnson NPPES

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

ANDRE L JOHNSON (NPI 1730857871) is an individual student in an organized health care education/training program in Tarzana, California and active in the NPI registry since September 2021. He maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1730857871
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE L JOHNSON
Location Address18646 OXNARD STTarzana, CA 91356-1411
Mailing Address1121 E Mcnichols RdDetroit, MI 48203-2857 · (313) 212-2998 · Fax (313) 365-3154
Phone(818) 654-3908
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
Last NPPES UpdateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1730857871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychologistTaxonomy 103T00000X · License 6301018288 (MI)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301018288 (MI)
18646 OXNARD ST, Tarzana, CA 91356
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Secondary Practice Location 1

Location 11121 E McNichols RdDetroit, MI 48203-2857 · Phone (313) 212-2998 · Fax (313) 365-3154

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.

DEANNA KATHERINE MALEC RN
Registered Nurse (Case Management)
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
NICOLE MARIAN JOHNSTONE RADT
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 654-3950
ARTURO VARGAS
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID JEROME FISCHER
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
HILDA LOPEZ
Case Manager/Care Coordinator
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 654-3850
GREGORY PAUL WALSH
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID HEISERMAN
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (747) 224-0384
JOSHUA KELLY
Student in an Organized Health Care Education/Training Program
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (859) 779-2349

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 Andre Johnson's NPI number?

The NPI number for Andre Johnson is 1730857871. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Andre Johnson located?

Andre Johnson practices at 18646 Oxnard St, Tarzana, CA 91356. The listed phone number is (818) 654-3908.

What is Andre Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andre Johnson was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.