JEFFREY M JOHNSRUD M.D.
NPI 1366516197
Specialist in Orange, CA

Active since November 20, 2006
1140 W LA VETA AVE, #760, ORANGE, CA 92868(714) 541-4442(714) 835-9550 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey M Johnsrud M.d. NPPES

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

JEFFREY M JOHNSRUD M.D. (NPI 1366516197) is an individual specialist in Orange, California, licensed in California (G51096) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1366516197
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEFFREY M JOHNSRUDCredential: M.D.
Location Address1140 W LA VETA AVE, #760Orange, CA 92868-4223
Mailing Address1140 W La Veta Ave, #760Orange, CA 92868-4223 · (714) 541-4442 · Fax (714) 835-9550
Fax(714) 835-9550
Sole ProprietorYes
Enumeration DateNovember 20, 2006
Last NPPES UpdateOctober 27, 2011
NPI 1366516197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G51096
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1140 W LA VETA AVE, Orange, CA 92868

Other Identifiers 2

Medicare ID-Type UnspecifiedG51096CA
Medicare UPINA51894AR

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.

Nurse Practitioner (Obstetrics & Gynecology)
1140 W LA VETA AVE, SUITE 770
ORANGE, CA 92868
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Physician Assistant
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Occupational Therapist (Hand)
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Internal Medicine
1140 W LA VETA AVE, SUITE 615
ORANGE, CA 92868
Clinic/Center (Medical Specialty)
1140 W LA VETA AVE, SUITE 750
ORANGE, CA 92868
Otolaryngology
1140 W LA VETA AVE, STE. 520
ORANGE, CA 92868

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 Jeffrey Johnsrud's NPI number?

The NPI number for Jeffrey Johnsrud is 1366516197. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Jeffrey Johnsrud located?

Jeffrey Johnsrud practices at 1140 W La Veta Ave #760, Orange, CA 92868. The listed phone number is (714) 541-4442.

What is Jeffrey Johnsrud's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Johnsrud was last updated on October 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.