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Sophia Alexandra Johnson, CP

Clinical Psychologist · Santa Clara

NPI 1538404165

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • 1 Medical Board action on record

Offices

1 location · Sud Specialty Group - CA · 519 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Sophia Alexandra Johnson’s office at (323) 968-6182 to ask if they take your plan before you enroll.

California Medical Board record

Licence A22563 · Cancelled

Licence status: Cancelled · since 1967 · University of California San Francisco School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
1968-04-22Board disciplineDisciplineRevoked. · 03 1966300968

Professional record

NPI
1538404165
Licence
CA 22563, NV 0804California A22563: Cancelled
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 103TC0700X (103TC0700X)
Mailing address
2664 Starr Meadows Loop, Reno, NV, 89519
NPI first listed
2012-12-07
NPI last updated
2021-10-08
NPI record certified
2021-10-08

This is when the NPI record was last certified, not a medical board exam.