MR. TREVOR RUSSELL JOHNSON OTC NPI 1609102698

NPI Information

  • NPI: 1609102698
  • Provider Name: MR. TREVOR RUSSELL JOHNSON, OTC
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Individual
  • Address: 320 SANTA FE DR STE 301
    ENCINITAS, CA
    ZIP 92024
  • Phone: (760) 633-4700

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NPI Details

MR. Trevor Russell Johnson, OTC is a surgical assistant specialist technologist other in Encinitas, CA. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. MR. Trevor Russell Johnson, OTC NPI is 1609102698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 SANTA FE DR STE 301
ENCINITAS, CA
ZIP 92024-140
Phone: (760) 633-4700
Fax: (760) 635-4344

The enumeration date for this NPI number is 10/26/2009 and was last updated on 10/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZC0007XSpecialist/Technologist, OtherSurgical AssistantOTC 09-0802Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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