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

Scott David Johnson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083379903

Scott David Johnson is an Addiction (Substance Use Disorder) Counselor in Bloomington, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

18612 Santa Ana Ave
Bloomington, CA 92316-2639
Phone: (909) 421-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 939 N D St, San Bernardino, CA 92410-3519 — (909) 889-6519

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CI49801225 (CA)

Record details

NPI number1083379903
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 4, 2021
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address3050 Dundee Ave, Highland, CA 92346-1803

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