NPIMap

Organization Active NPI

Joa Corporation

  • Customized Equipment (DME)
  • Riverside, CA
National Provider Identifier
1487748059
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JOA CORPORATION
Practice address
7254 Magnolia Ave
Riverside, CA 92504-3829
Phone
(951) 785-4411
Fax
(951) 785-4665
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

7254 Magnolia Ave
Riverside, CA 92504-3829

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
GFC000010MedicaidCA

Other names 1

  • Johnson's Orthopedic Appliances Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038142 CA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7012034473 Practice locations: Riverside, CA

Other NPIs with the same Medicare PAC ID 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1487748059",
    "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": "7254 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043829",
            "telephone_number": "951-785-4411",
            "fax_number": "951-785-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-02-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC000010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson's Orthopedic Appliances",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson's Orthopedic Appliances",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.