Charisma Shauntae Johnson, LVN is a
Licensed Vocational Nurse based in Imperial, California. Charisma Shauntae Johnson is licensed to practice in California (license number 231556) and her current practice location is
601 W 3rd St, Imperial, California. She can be reached at her office (for appointments etc.) via phone at
(424) 207-7947.
NPI number for Charisma Shauntae Johnson is 1417553215 and her current mailing address is 601 W 3rd St, Imperial, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417553215.
Provider's Profile
Full Name | Charisma Shauntae Johnson |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 601 W 3rd St, Imperial, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417553215
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 12/07/2020
Medical Identifiers
Medical identifiers for Charisma Shauntae Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417553215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 231556 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charisma Shauntae Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charisma Shauntae Johnson, LVN 601 W 3rd St, Imperial, CA 92251-1404 Ph: (424) 207-7947 | Charisma Shauntae Johnson, LVN 601 W 3rd St, Imperial, CA 92251-1404 Ph: (424) 207-7947 |
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