PAMELA JOHNSON NPI 1619860020

NPI Information

  • NPI: 1619860020
  • Provider Name: PAMELA JOHNSON
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Individual
  • Address: 6360 OLD REDWOOD HWY
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 836-7777

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NPI Details

Pamela Johnson is a custodial care facility in Santa Rosa, CA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. Pamela Johnson NPI is 1619860020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6360 OLD REDWOOD HWY
SANTA ROSA, CA
ZIP 95403-125
Phone: (707) 836-7777
Fax: (707) 838-0820

The enumeration date for this NPI number is 6/3/2025 and was last updated on 8/29/2025.

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
1311Z00000XCustodial Care Facility4968013672CALIFORNIAYes

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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