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

Individual provider Custodial Care Facility · NPI 1619860020

Pamela Johnson is a Custodial Care Facility in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

6360 Old Redwood Hwy
Santa Rosa, CA 95403-1125
Phone: (707) 836-7777
Fax: (707) 838-0820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence 4968013672 (CA)

Record details

NPI number1619860020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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