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Staci Johnson

NPI 1548179591 · on the registry since 2026

Practice

Address
2707 Transworld Dr
Stockton, CA 95206
Phone
(209) 468-9108
Organisation at this address
San Joaquin County Office Of Education
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-04

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