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

Tracey Johnson

Individual provider Community Health Worker · NPI 1417726019

Tracey Johnson is a Community Health Worker in San Luis Obispo, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

784 High St
San Luis Obispo, CA 93401-5243
Phone: (805) 503-0305
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1417726019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2023
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023

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