Search › California › 363A00000X
Jessica Johnson, PA-C
NPI 1265833545 · on the registry since 2014
Practice
- Address
- 4460 Broad St Ste A
San Luis Obispo, CA 93401 - Phone
- (805) 597-6715
- Organisation at this address
- Pacific Central Coast Health Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 1304 Ella St, San Luis Obispo, CA
- 689 Tank Farm Rd Ste 220, San Luis Obispo, CA
- 689 Tank Farm Rd Ste 220, San Luis Obispo, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California