Healthcare Provider Details

I. General information

NPI: 1750228763
Provider Name (Legal Business Name): ERIKA JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SOLAR DR
OXNARD CA
93030-2655
US

IV. Provider business mailing address

3402 FAYANCE PL
THOUSAND OAKS CA
91362-4806
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-1442
  • Fax:
Mailing address:
  • Phone: 909-435-5336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP13588
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: