NPI Code Detail JSON Logo

1336688191 NPI number — THE JOHNSON FOUNDATION INC.

NPI Number: 1336688191
Health Care Provider/Practitioner: THE JOHNSON FOUNDATION INC.

Information about “1336688191” NPI (THE JOHNSON FOUNDATION INC.) exists in 1336688191 in HTML format HTML  |  1336688191 in plain Text format TXT  |  1336688191 in PDF (Portable Document Format) PDF  |  1336688191 in an XML format XML  formats.

NPI Number : 1336688191 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336688191",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "THE JOHNSON FOUNDATION INC.",
    "ParentOrgTIN": null,
    "OrgName": "THE JOHNSON FOUNDATION INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14619 MAVERICK PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VICTORVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92394-7082",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-596-3803",
    "MailingAddressFaxNumber": "760-596-3803",
    "FirstLinePracticeLocationAddress": "16755 HUGHES RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VICTORVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92395-4563",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-684-3419",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2017",
    "LastUpdateDate": "08/17/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "SAMUEL",
    "AuthorizedOfficialMiddleName": "ALEXANDER",
    "AuthorizedOfficialTitle": "DOCTOR OF BEHAVIORAL COUNSELING",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DBC",
    "AuthorizedOfficialTelephoneNumber": "760-596-3803",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": "J1006181711",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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