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

Shade Johnson

Individual provider Case Manager/Care Coordinator · NPI 1134500275

Shade Johnson is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

5715 S Broadway
Los Angeles, CA 90037-4131
Phone: (323) 948-0444
Fax: (323) 948-0419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1134500275
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESJune 15, 2015

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