Healthcare Provider Details

I. General information

NPI: 1528907201
Provider Name (Legal Business Name): JAMES MICHAEL JOHNS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 CAL EDISON DR UNIT A10
LAUGHLIN NV
89029-3719
US

IV. Provider business mailing address

6881 LONGMEADOW DR
PAHRUMP NV
89061-7755
US

V. Phone/Fax

Practice location:
  • Phone: 702-816-0606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: