Individual provider Active NPI

Jaskarn S Johl, DO

  • Ophthalmology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1245492677
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A11065 Issued in CA
Practice address
10837 Laurel St
Suite 103
Rancho Cucamonga, CA 91730-7643
Phone
(909) 259-0903
Fax
(909) 466-7607
NPI assigned
Jun 26, 2008
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20A11065 CA Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 11065 CA

Addresses

Primary practice location

10837 Laurel St
Suite 103
Rancho Cucamonga, CA 91730-7643

Mailing address

10837 Laurel St
Suite 103
Rancho Cucamonga, CA 91730-7643
Phone (909) 259-0903

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806010912 CA Practitioner - Ophthalmology 4284948019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrowhead Eye Associates IncGroup PAC ID 0345528717, 2 clinicians

Practice addresses (Care Compare)

10837 Laurel St
Suite 103
Rancho Cucamonga, CA 91730-0632
Phone (909) 477-8810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
46.85
Promoting interoperability
74
Improvement activities
40
Cost
71.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11065CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Eye Associates Inc Ophthalmology CurrentSince Sep 4, 2016 Accepting new patients
Arrowhead Eye Associates Inc Ophthalmology Current Accepting new patients
Cal Med Physicians and Surgeons, Inc. Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients
Spruce Surgery Center LLC CurrentSince Sep 1, 2016 Accepting new patients
Kris J Storkersen M D Inc Ophthalmology CurrentSince Nov 9, 2020 Accepting new patients
Upland Outpatient Surgery Center LP PastSince Sep 1, 2016 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1211 W 6th St
Ontario, CA 91762
Phone (909) 933-6580

10837 Laurel St
#103
Rancho Cucamonga, CA 91730
Phone (760) 451-6412

10888 Foothill Blvd
Ste 190
Rancho Cucamonga, CA 91730
Phone (909) 477-8810

10837 Laurel St
Ste 103
Rch Cucamonga, CA 91730
Phone (530) 755-7118

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jjohl@arrow.intellechartdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1245492677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 LAUREL ST",
            "address_2": "SUITE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307643",
            "telephone_number": "909-259-0903",
            "fax_number": "909-466-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 LAUREL ST",
            "address_2": "SUITE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307643",
            "telephone_number": "909-259-0903",
            "fax_number": "909-466-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHL",
        "first_name": "JASKARN",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A11065",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "11065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.