IndividualActive
Emily Johnson, CPNP
NPI 1962227686 · Pediatric Nurse Practitioner · Tustin, CA
Provider details
- NPI number
- 1962227686
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95032512 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
1 Hope Dr
Tustin, CA 92782-0221
Phone: (714) 247-0300
Fax: (714) 259-1598
Street-level locationGet directions
Mailing address
14642 Newport Ave Ste 300
Tustin, CA 92780-6059
Additional practice locations (3)
- 947 S Anaheim Blvd Ste 260Anaheim, CA 92805-5591Phone: (714) 247-0300Fax: (714) 259-1598
- 1100b N Tustin Ave Ste aSanta Ana, CA 92705-3505Phone: (714) 247-0300Fax: (714) 259-1598
- 14642 Newport Ave Ste 200Tustin, CA 92780-6058Phone: (714) 247-0300Fax: (714) 259-1598
Registry dates
- Enumerated
- 2024-11-18
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.