IndividualActive
Larry Johnson, C.O.
NPI 1396983888 · Specialist · San Diego, CA
Larry Johnson, C.O. is a Specialist provider in San Diego, CA (NPI 1396983888).
Provider details
- NPI number
- 1396983888
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- C.O.
- Sex
- Male
- Sole proprietor
- No
- License
- CO2834 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% 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
9570 Ridgehaven Ct
Suite C
San Diego, CA 92123-1667
Phone: (858) 278-0518
Fax: (858) 278-0323
Street-level locationGet directions
Mailing address
10723 Montego Dr
San Diego, CA 92124-1910
Registry dates
- Enumerated
- 2009-01-22
- Last updated
- 2009-01-22
Frequently asked questions
- What is Larry Johnson's NPI number?
- Larry Johnson's National Provider Identifier (NPI) is 1396983888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Johnson's specialty?
- Larry Johnson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Larry Johnson located?
- Larry Johnson's practice location on file with NPPES is 9570 Ridgehaven Ct, San Diego, CA 92123-1667.
- What is Larry Johnson's phone number?
- The practice phone number listed in the NPPES registry for Larry Johnson is (858) 278-0518.
- Is Larry Johnson's NPI active?
- Yes — Larry Johnson's NPI (1396983888) is active in the NPPES registry as of the last update on 2009-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.