Provider Demographics
NPI:1407140866
Name:ALEXANDER S JOHNSON DBA NURSEREGISTRY.COM
Entity Type:Organization
Organization Name:ALEXANDER S JOHNSON DBA NURSEREGISTRY.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-462-1001
Mailing Address - Street 1:125 UNIVERSITY AVE
Mailing Address - Street 2:140
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1622
Mailing Address - Country:US
Mailing Address - Phone:650-462-1001
Mailing Address - Fax:866-810-7662
Practice Address - Street 1:125 UNIVERSITY AVE
Practice Address - Street 2:140
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1622
Practice Address - Country:US
Practice Address - Phone:650-462-1001
Practice Address - Fax:866-810-7662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507429163W00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty