Individual provider Active NPI

Jarmaine Kelly Johns, NP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1215544804
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015410 Issued in CA
Practice address
1306 E Anaheim St
Long Beach, CA 90813
Phone
(562) 270-0324
NPI assigned
Sep 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015410 CA Primary

Addresses

Primary practice location

1306 E Anaheim St
Long Beach, CA 90813

Mailing address

317 E Smith St
Long Beach, CA 90805-2918
Phone (310) 714-4648

Other practice location 1

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900

Other practice location 2

1401 W 1st St
Santa Ana, CA 92703-3757
Phone (714) 542-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125003731 CA Practitioner - Nurse Practitioner 2668907874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Wellness Centers USAGroup PAC ID 1759665367, 30 clinicians

Practice addresses (Care Compare)

1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Wellness Centers USA CurrentSince Oct 22, 2024 Accepting new patients
Community Medical Wellness Centers USA CurrentSince Oct 22, 2024 Accepting new patients

Locations

1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Phone (562) 270-0324

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1215544804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E SMITH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052918",
            "telephone_number": "310-714-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-270-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622609",
            "country_code": "US",
            "telephone_number": "310-900-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927033757",
            "country_code": "US",
            "telephone_number": "714-542-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JARMAINE",
        "middle_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.