Individual provider Active NPI

Jewel Johl, M.D.

  • Hematology & Oncology Physician
  • Walnut Creek, CA
National Provider Identifier
1407852858
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A69437 Issued in CA
Practice address
575 Lennon LN
Walnut Creek, CA 94598-2443
Phone
(925) 433-8786
NPI assigned
Jun 21, 2005
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A69437 CA Primary

Addresses

Primary practice location

575 Lennon LN
Walnut Creek, CA 94598-2443

Mailing address

575 Lennon LN
Walnut Creek, CA 94598-2443

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
I20050114000894 CA Practitioner - Hematology/Oncology 6305895400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Loyola University of Chicago, Stritch School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

575 Lennon LN
Walnut Creek, CA 94598-2443
Phone (925) 378-4512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69437CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jul 9, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jul 9, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

100 Cortona Way
Ste 160
Brentwood, CA 94513
Phone (925) 687-6111

2400 Balfour Rd
Ste 230
Brentwood, CA 94513
Phone (925) 324-7404

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 471-4223

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

575 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 378-4512

575 Lennon Ln
Ste 153
Walnut Creek, CA 94598
Phone (925) 433-8786

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: jjohl134473@hisp.ehr.sutterhealth.org
  • Direct secure messaging: jjohl16580@ehr.johnmuirhealth.com

Organizations & group practices 5

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 4

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1407852858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-433-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHL",
        "first_name": "JEWEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A69437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.