Joa Corporation

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JOA CORPORATION

Doing business as

Johnson's Orthopedic

Practice address

15888 Main St Ste 108
Hesperia, CA 92345-3452

Phone

(951) 785-4411

Fax

(951) 785-4665

NPI assigned

Feb 21, 2008

Last updated

Mar 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lesli D. Kearney

Title

Cfo

Phone

(951) 785-4411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson's Orthopedic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Joa Corporation

  dba Johnson's Orthopedic

  • Customized Equipment (DME)
  • Pomona, CA
  • NPI 1215106406

  7012034473

  Same PAC ID
• Joa Corporation

  dba Johnson's Orthopedic Appliances

  • Customized Equipment (DME)
  • Riverside, CA
  • NPI 1487748059

  7012034473

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Joa Corporation

  dba Johnson's Orthopedic

  • Customized Equipment (DME)
  • Pomona, CA
  • NPI 1215106406
  NPD tax ID
• Joa Corporation

  dba Johnson's Orthopedic Appliances

  • Customized Equipment (DME)
  • Riverside, CA
  • NPI 1487748059
  NPD tax ID
• Johnson's Orthopedic

  • Prosthetic/Orthotic Supplier
  • Wildomar, CA
  • NPI 1699920579
  NPD tax ID

Locations

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1679742860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15888 MAIN ST STE 108",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453452",
            "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": "15888 MAIN ST STE 108",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453452",
            "telephone_number": "951-785-4411",
            "fax_number": "951-785-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679742860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson's Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson's Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey T Tahauri
• Paul David Jermain
• Robert Walter Jeske
• Sadie Gage Jessen
• Ruby K Jhaj, M.D.
• Clarence W Johnson, LCSW
• Douglas B Johnson, D.D.S.
• Jarnice Louise Johnson, PA-C
• Kent B Johnson, D.D.S.
• Sally A Johnson

• Customized Equipment (DME) in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.