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NPI Code Detail

MEDICARE: DAVID WAYNE JOHNSON AMFT, APCC

MEDICARE: DAVID WAYNE JOHNSON AMFT, APCC
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
1106H00000XMarriage & Family Therapist160418CA

General Provider Information

NPI Number : 1528925039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID WAYNE JOHNSON AMFT, APCC
Provider Business Mailing Address
First Line : 7349 MILLIKEN AVE # 140-3
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7435
Country : US
Telephone Number : 909-927-8649
Fax Number :
Provider Business Practice Location Address
First Line : 3633 INLAND EMPIRE BLVD STE 777
Second Line :
City : ONTARIO
State : CA
Zip : 91764-7974
Country : US
Telephone Number : 909-927-8649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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