1. Home
  2. Directory
  3. California
  4. Newport Beach
  5. Pediatrics
  6. NPI Profile

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

Active since July 03, 2015
366 SAN MIGUEL DR STE 209, NEWPORT BEACH, CA 92660(949) 856-2701 Get Directions Write a Review

NPPES record last updated: July 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Johnson, M.d., A Professional Corporation NPPES

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

JENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION (NPI 1710360094) is a healthcare organization registered as an adolescent medicine in Newport Beach, California and active in the NPI registry since July 2015. The organization lists Jennifer Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710360094
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameJENNIFER JOHNSON, M.D., A PROFESSIONAL CORPORATION
Location Address366 SAN MIGUEL DR STE 209Newport Beach, CA 92660-7810
Mailing Address366 San Miguel Dr Ste 209Newport Beach, CA 92660-7810 · (949) 856-2701
Phone(949) 856-2701
Organization SubpartNo
Authorized OfficialJennifer JohnsonCeo · (949) 856-2701
Enumeration DateJuly 3, 2015
✔ NPI 1710360094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CA · A40753
Definition
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.
366 SAN MIGUEL DR STE 209, Newport Beach, CA 92660
Open in Google Maps ↗

Other Identifiers 1

Other1982648192CA · Npid

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

COAST OB-GYN
Obstetrics & Gynecology
366 SAN MIGUEL DR STE 209
NEWPORT BEACH, CA 92660
Orange County (248) 631-7611

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, M.D., A Professional Corporation's NPI number?

The NPI number for Jennifer Johnson, M.D., A Professional Corporation is 1710360094. It was assigned to this organization in the NPPES registry on July 3, 2015.

Where is Jennifer Johnson, M.D., A Professional Corporation located?

Jennifer Johnson, M.D., A Professional Corporation is located at 366 San Miguel Dr Ste 209, Newport Beach, CA 92660. The listed phone number is (949) 856-2701.

What is Jennifer Johnson, M.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Johnson, M.D., A Professional Corporation was last updated on July 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.