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

Kaneesha Johnson

Individual provider Community Health Worker · NPI 1720578552

Kaneesha Johnson is a Community Health Worker in Long Beach, California. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone: (310) 221-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4211 Avalon Blvd, Los Angeles, CA 90011-5622 — (323) 233-0425

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1720578552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address1501 Hughes Way Ste 150, Long Beach, CA 90810-1878

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