NPIMap

Individual provider Active NPI

Jay Austin Johnson, M.D.

  • Cardiovascular Disease Physician
  • Santa Cruz, CA
National Provider Identifier
1699810697
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G73261 Issued in CA
Practice address
1595 Soquel Dr
Suite 220
Santa Cruz, CA 95065-1719
Phone
(831) 464-3801
Fax
(831) 464-2737
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G73261 CA Primary

Addresses

Primary practice location

1595 Soquel Dr
Suite 220
Santa Cruz, CA 95065-1719

Mailing address

1595 Soquel Dr
Suite 220
Santa Cruz, CA 95065-1719
Phone (831) 464-3801

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
I20071029000762 CA Practitioner - Cardiovascular Disease (Cardiology) 5092802694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of Santa CruzGroup PAC ID 9931341674, 3 clinicians
Monterey Bay Heart CenterGroup PAC ID 8224077805, 2 clinicians

Practice addresses (Care Compare)

1595 Soquel Dr
Santa Cruz, CA 95065-1721
Phone (831) 464-3801

1595 Soquel Dr
Suite 220
Santa Cruz, CA 95065-1560

73 Penny LN
Watsonville, CA 95076-3078
Phone (831) 761-8500

Hospital & facility affiliations

  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of Santa Cruz Cardiovascular Disease CurrentSince Jul 15, 2013 Accepting new patients
Dignity Health Past Accepting new patients
Cardiovascular Consultants of Nevada Cardiovascular Disease Past Accepting new patients

Locations

1595 Soquel Dr
Ste 220
Santa Cruz, CA 95065
Phone (831) 464-3801

1667 Dominican Way
Ste 230
Santa Cruz, CA 95065
Phone (831) 458-6288

Interoperability endpoints

  • Direct secure messaging: jay.johnson.1@14789.direct.athenahealth.com
  • Direct secure messaging: jjohnson225752@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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 11

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1699810697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "SUITE 220",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-464-3801",
            "fax_number": "831-464-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "SUITE 220",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-464-3801",
            "fax_number": "831-464-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAY",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G73261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.