Individual provider · Type 1 NPI

Kenneth D. Johnson

Case Manager/Care Coordinator · Clearlake Oaks, CA

NPI number 1922894880 Active

Practice location

13300 E Highway 20
Clearlake Oaks, CA 95423-9436

Mailing address

PO Box 1024
Lucerne, CA 95458-1024

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator Primary 171M00000XMPSS-YDOIKM (CA)

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1922894880

Kenneth D. Johnson's National Provider Identifier is 1922894880, issued on Apr 17, 2025. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Jun 24, 2026.