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DR. JENNIFER JOHNSON MD
NPI 1194143057
Pediatrics - Developmental - Behavioral Pediatrics in Madera, CA

Active since March 28, 2014PECOS Enrolled
9300 VALLEY CHILDRENS PL, MADERA, CA 93636(559) 353-5714 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2020, Mar 17, 2018, Jun 1, 2017 (3 updates tracked since 2017).

About Dr. Jennifer Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER JOHNSON MD (NPI 1194143057) is an individual developmental - behavioral pediatrics provider in Madera, California, licensed in California (A149107) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194143057
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. JENNIFER JOHNSONCredential: MD
Location Address9300 VALLEY CHILDRENS PLMadera, CA 93636-8761
Mailing Address56 W Siena LnClovis, CA 93619-2614 · (559) 250-6853
Phone(559) 353-5714
Sole ProprietorNo
Enumeration DateMarch 28, 2014
Last NPPES UpdateJuly 9, 20203 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1194143057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CA · A149107
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License A149107 (CA)
9300 VALLEY CHILDRENS PL, Madera, CA 93636
Open in Google Maps ↗

Other Identifiers 1

OtherA149107CA · California Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Children's Medical Group
85 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE L. HAMAN PT
Physical Therapist (Pediatrics)
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-6800
WILLIAM ARTHUR KOOLE JR. PHARM.D.
Pharmacist
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-5559
KRISTIN VAN HORN
Occupational Therapist
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-3000
RACHEL GARCIA-WALKER
Social Worker (Clinical)
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-3000
DR. KATHERINE DANIELLE SHAH MD
Student in an Organized Health Care Education/Training Program
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-5168
DR. MEERA RAMAYYA MD
Pediatrics (Pediatric Endocrinology)
9300 VALLEY CHILDRENS PL, MB23
MADERA, CA 93636
Madera County (559) 353-6600
DR. WHITNEY LYN KALIN M.D.
Pediatrics
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-5700
PAMELA REBECCA MARSH PNP-BC
Nurse Practitioner (Pediatrics)
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 801-1997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1194143057. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 9300 Valley Childrens Pl, Madera, CA 93636. The listed phone number is (559) 353-5714.

What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Jennifer Johnson enrolled in Medicare?

Yes. Jennifer Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Johnson reassigns Medicare benefits to Valley Children's Medical Group (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.