MEDICARE: DION JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist		CA

General Provider Information

NPI Number	:	1184575276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DION JOHNSON

Provider Business Mailing Address
First Line	:	1306 E J ST
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-8154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9663 TIERRA GRANDE ST STE 104
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4569
Country	:	US
Telephone Number	:	858-500-2434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ DION JOHNSON ” Practice Location

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