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Deantwann Johnson
NPI 1164826400 · Community Health Worker · Upland, CA
Deantwann Johnson is a Community Health Worker provider in Upland, CA (NPI 1164826400).
Provider details
- NPI number
- 1164826400
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1126 W Foothill Blvd
Suite 150
Upland, CA 91786-3768
Phone: (909) 982-8641
Street-level locationGet directions
Mailing address
1170 N San Antonio Ave
Pomona, CA 91767-4104
Registry dates
- Enumerated
- 2014-10-15
- Last updated
- 2014-10-15
Frequently asked questions
- What is Deantwann Johnson's NPI number?
- Deantwann Johnson's National Provider Identifier (NPI) is 1164826400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deantwann Johnson's specialty?
- Deantwann Johnson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Deantwann Johnson located?
- Deantwann Johnson's practice location on file with NPPES is 1126 W Foothill Blvd, Upland, CA 91786-3768.
- What is Deantwann Johnson's phone number?
- The practice phone number listed in the NPPES registry for Deantwann Johnson is (909) 982-8641.
- Is Deantwann Johnson's NPI active?
- Yes — Deantwann Johnson's NPI (1164826400) is active in the NPPES registry as of the last update on 2014-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.