NPIMap

Individual provider Active NPI

Karl Knudsen Johsens, M.D.

  • Internal Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1295948727
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G84030 Issued in CA
Practice address
1595 Soquel Dr Ste 340
Santa Cruz, CA 95065-1722
Phone
(831) 425-1279
Fax
(831) 425-3500
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X G084030 CA
Internal Medicine Physician 207R00000X G84030 CA Primary

Addresses

Primary practice location

1595 Soquel Dr Ste 340
Santa Cruz, CA 95065-1722

Mailing address

1595 Soquel Dr Ste 340
Santa Cruz, CA 95065-1722
Phone (831) 425-1279

Other identifiers 5

IdentifierTypeStateIssuer
5541296OtherCAAETNA
00G840300OtherCABLUE SHIELD
00G840300MedicaidCA
G054030OtherCABLUE CROSS
110208332OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000529 CA Practitioner - Internal Medicine 0446149025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1595 Soquel Dr
Suite 340
Santa Cruz, CA 95065-1722
Phone (831) 425-1279

Hospital & facility affiliations

  • Bridge Home Health Home health agency, Salinas, CA, CCN 559775
  • Sutter Care at Home Home health agency, Santa Cruz, CA, CCN 057007
  • Hospice of Santa Cruz County Hospice, Scotts Valley, CA, CCN 051526
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Pacific Coast Manor Nursing home, Capitola, CA, CCN 056048

Merit-based Incentive Payment System (MIPS)

Final score
87.11 of 100Reported as individual
Quality
83.9
Promoting interoperability
100
Improvement activities
40
Cost
73.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84030CAMDInternal Medicine Physician
G084030CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karl Johsens MD & Drusilla LDH Lee MD Inc Internal Medicine CurrentSince Apr 17, 2000 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

1595 Soquel Dr
Ste 340
Santa Cruz, CA 95065
Phone (831) 425-1279

Interoperability endpoints

  • Direct secure messaging: karl.johsens.2@14345.direct.athenahealth.com

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.

Hospital & facility affiliations 12

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1295948727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 340",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651722",
            "telephone_number": "831-425-1279",
            "fax_number": "831-425-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 340",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651722",
            "telephone_number": "831-425-1279",
            "fax_number": "831-425-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHSENS",
        "first_name": "KARL",
        "middle_name": "KNUDSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G084030",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G84030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5541296",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G840300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G840300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G054030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110208332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.