Mattison Brooke Johnson I, LVN is a
Technician - Attendant Care Provider based in La Mesa, California. Mattison Brooke Johnson I is licensed to practice in * (Not Available) (license number ) and her current practice location is
8615 Fletcher Pkwy Unit 406, La Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(209) 570-6823.
NPI number for Mattison Brooke Johnson I is 1710535687 and her current mailing address is 8615 Fletcher Pkwy Unit 406, La Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710535687.
Provider's Profile
Full Name | Mattison Brooke Johnson I |
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Gender | Female |
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Speciality | Technician - Attendant Care Provider |
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Location | 8615 Fletcher Pkwy Unit 406, La Mesa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710535687
- Provider Enumeration Date: 09/03/2019
- Last Update Date: 02/25/2020
Medical Identifiers
Medical identifiers for Mattison Brooke Johnson I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710535687 | NPI | - | NPPES |
F5653277 | Other | CA | DRIVER LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 696096 (California) | Secondary |
3747A0650X | Technician - Attendant Care Provider | (* (Not Available)) | 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. Mattison Brooke Johnson I 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 |
Mattison Brooke Johnson I, LVN 8615 Fletcher Pkwy Unit 406, La Mesa, CA 91942-5205 Ph: (209) 570-6823 | Mattison Brooke Johnson I, LVN 8615 Fletcher Pkwy Unit 406, La Mesa, CA 91942-5205 Ph: (209) 570-6823 |
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