Organization Active NPI

Joa Corporation

Doing business as Johnson's Orthopedic

  • Customized Equipment (DME)
  • Pomona, CA
National Provider Identifier
1215106406
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JOA CORPORATION
Doing business as
Johnson's Orthopedic
Johnson's Orthopedic Appliance Inc.
Practice address
183 W Arrow Hwy
Pomona, CA 91767
Phone
(909) 596-8188
Fax
(909) 596-8609
NPI assigned
Feb 21, 2008
Last updated
Jul 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lesli D. Kearney
Title
Cfo
Phone
(951) 785-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

183 W Arrow Hwy
Pomona, CA 91767

Mailing address

7254 Magnolia Ave
Riverside, CA 92504-3829
Phone (951) 785-4411

Other identifiers 1

IdentifierTypeStateIssuer
1215106406OtherCANPI

Other names 2

  • Johnson's Orthopedic Doing business as
  • Johnson's Orthopedic Appliance Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000059 CA DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 7012034473 Practice locations: Pomona, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Johnsons Orthopedic183 W Arrow Hwy, Pomona, CA 91767-2183(909) 596-8188 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Johnsons Ortho Applianc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

183 W Arrow Hwy
Pomona, CA 91767
Phone (909) 596-8188

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1215106406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043829",
            "telephone_number": "951-785-4411",
            "fax_number": "951-785-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W ARROW HWY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-596-8188",
            "fax_number": "909-596-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "LESLI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-785-4411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215106406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson's Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson's Orthopedic Appliance Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.