Jennifer Johnson, M.D., a Professional Corporation

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A40753 Issued in CA

Legal business name

JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION

Practice address

366 San Miguel Dr Ste 209
Newport Beach, CA 92660-7810

Phone

(949) 856-2701

NPI assigned

Jul 3, 2015

Last updated

Jul 3, 2015By 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

Jennifer Johnson, M.D.NPI 1982648192

Title

Ceo

Phone

(949) 856-2701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Johnson, M.D.

  • Pediatric Adolescent Medicine Physician
  • Newport Beach, CA
  • NPI 1982648192
  Authorized official Same address or phone

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1710360094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-856-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-856-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-856-2701",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A40753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPID",
            "identifier": "1982648192",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Larry Topkis, D.O., Inc
• Jeffrey M Joseph MD Inc
• Todd I. Jen, M.D.
• Scott E Jenkins, MD
• Jennifer Armstrong, M.D., a Professional Corporation
• Ashley Johanna Jensen
• Maureen C Jensen, M.D.
• Natisha Nicole Jensen, MD
• Milim Jeon
• Amy Liu Jeong, PA-C

• Pediatric Adolescent Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.