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

Robert Gary Johannsen

Individual provider Peer Specialist · NPI 1134099088

Robert Gary Johannsen is a Peer Specialist in Lake Isabella, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone: (760) 379-3412
Fax: (760) 379-5332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-EKZJXM (CA)

Record details

NPI number1134099088
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

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