Johnny Tillis
NPI 1528606829 · Student in an Organized Health Care Education/Training Program · Elk Grove, CA
Johnny Tillis is a Student in an Organized Health Care Education/Training Program provider in Elk Grove, CA (NPI 1528606829).
Provider details
- NPI number
- 1528606829
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 9343 Tech Center DrSacramento, CA 95826-2563Phone: (916) 531-2822
Registry dates
- Enumerated
- 2019-12-17
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Frequently asked questions
- What is Johnny Tillis's NPI number?
- Johnny Tillis's National Provider Identifier (NPI) is 1528606829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnny Tillis's specialty?
- Johnny Tillis is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Johnny Tillis located?
- Johnny Tillis's practice location on file with NPPES is 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101.
- What is Johnny Tillis's phone number?
- The practice phone number listed in the NPPES registry for Johnny Tillis is (916) 879-2574.
- Is Johnny Tillis's NPI active?
- Yes — Johnny Tillis's NPI (1528606829) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.