Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlotte Johnson

Individual provider Nurse Practitioner · NPI 1508322462

Charlotte Johnson is a Nurse Practitioner in Elk Grove, California. Qualified in 2018, 8 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

8170 Laguna Blvd
Elk Grove, CA 95758-7901
Phone: (916) 691-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95009955 (CA)

Record details

NPI number1508322462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address8110 Timberlake Way, Sacramento, CA 95823-5401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Elk Grove