Healthcare Provider Details

I. General information

NPI: 1386582005
Provider Name (Legal Business Name): J2 CARE COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 KIRKLAND AVE
VALLEJO CA
94592-1129
US

IV. Provider business mailing address

557 KIRKLAND AVE
VALLEJO CA
94592-1129
US

V. Phone/Fax

Practice location:
  • Phone: 707-342-5861
  • Fax:
Mailing address:
  • Phone:
  • Fax: 707-342-5861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JONIBEL JOHNSON
Title or Position: CO-FOUNDER
Credential:
Phone: 707-342-5861