Individual provider Active NPI

Jessica Lee Iwalani Johns, M.D.

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
National Provider Identifier
1841634342
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A149466 Issued in CA
Practice address
1450 Treat Blvd # 200
Walnut Creek, CA 94597
Phone
(925) 254-9840
NPI assigned
Apr 26, 2013
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A149466 CA Primary

Addresses

Primary practice location

1450 Treat Blvd # 200
Walnut Creek, CA 94597

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888

Other practice location 1

1356 Lusitana St
Ste. 510
Honolulu, HI 96813-2409
Phone (808) 586-2890

Other practice location 2

3100 San Pablo Ave # 410
Berkeley, CA 94702-2498
Phone (925) 985-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20201123001787 HI Practitioner - Obstetrics/Gynecology 0345592911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

1319 Punahou St
Suite 801
Honolulu, HI 96826-1032
Phone (808) 203-6580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
74.46
Promoting interoperability
97
Improvement activities
40
Cost
73.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149466CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince May 13, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince May 13, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince May 13, 2023 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince May 13, 2023 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince May 13, 2023 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Kapiolani Medical Center Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 3010
Aiea, HI 96701
Phone (808) 671-0090

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1319 Punahou St
Ste 760
Honolulu, HI 96826
Phone (808) 947-5606

1319 Punahou St
Ste 801
Honolulu, HI 96826
Phone (808) 203-6580

7192 Kalanianaole Hwy
Ste A200
Honolulu, HI 96825
Phone (808) 396-6321

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 8

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 1

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1841634342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94597",
            "telephone_number": "925-254-9840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St",
            "address_2": "Ste. 510",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "808-586-2890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 San Pablo Ave # 410",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947022498",
            "country_code": "US",
            "telephone_number": "925-985-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JESSICA",
        "middle_name": "LEE IWALANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A149466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.