JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION
NPI 1710360094
Pediatrics - Adolescent Medicine in Newport Beach, CA

NPI Status: Active since July 03, 2015

Contact Information

366 SAN MIGUEL DR STE 209
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 856-2701

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  • Organization
  • Pediatrics
  • Adolescent Medicine

About JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Jennifer Johnson, M.d., A Professional Corporation, a pediatrician established in Newport Beach, California operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1710360094 assigned on July 2015. The practitioner's primary taxonomy code is 2080A0000X with license number A40753 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer Johnson M.d. (Ceo)

NPI
1710360094
Provider Name
JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
366 SAN MIGUEL DR STE 209 NEWPORT BEACH, CA 92660
Location Phone
(949) 856-2701
Mailing Address
366 SAN MIGUEL DR STE 209 NEWPORT BEACH, CA 92660
Mailing Phone
(949) 856-2701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2015
Last Update Date
07-03-2015
Code Navigator

A pediatrician like Jennifer Johnson, M.d., A Professional Corporation is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
A40753
License State
CA
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER JOHNSON M.D.

Authorized Official Title
CEO
Authorized Official Phone
(949) 856-2701

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1982648192OTHER (01)CANPID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710360094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720660018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 0 + 0 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1710360094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

COAST OB-GYN

Obstetrics & Gynecology

366 SAN MIGUEL DR STE 209
NEWPORT BEACH, CA
ZIP 92660

(248) 631-7611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710360094, enumerated as an "organization" on July 03, 2015.

The provider is located at 366 SAN MIGUEL DR STE 209 NEWPORT BEACH, CA 92660 and the phone number is (949) 856-2701.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.