Healthcare Provider Details

I. General information

NPI: 1386580546
Provider Name (Legal Business Name): ASHLEY JOHNSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3463 STATE ST # 1110
SANTA BARBARA CA
93105-2662
US

IV. Provider business mailing address

3463 STATE ST UNIT 1110
SANTA BARBARA CA
93105-2662
US

V. Phone/Fax

Practice location:
  • Phone: 805-236-0795
  • Fax:
Mailing address:
  • Phone: 805-236-0795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95038861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: