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

Mr. Charles Miller Johnson Jr., LVN

Individual provider Licensed Practical Nurse · NPI 1063744571

Mr. Charles Miller Johnson Jr., LVN is a Licensed Practical Nurse in San Diego, California. Licensed in California and New York. Registered with an NPI since 2010.

Licensed in
CA, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

1020 Robinson Ave Apt 2
San Diego, CA 92103-4473
Phone: (619) 581-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 300231 (NY)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence VN251826 (CA)

Record details

NPI number1063744571
Entity typeIndividual (Type 1)
GenderMale
Credentials LVN
Sole proprietorNo
NPI enumeratedFebruary 8, 2010
Last updated in NPPESFebruary 3, 2014

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