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JARED JOSHUA JOHNSON
NPI 1902428238
Dentist - Oral and Maxillofacial Surgery in Downey, CA

Active since May 08, 2020PECOS Enrolled
10601 PARAMOUNT BLVD, DOWNEY, CA 90241(562) 923-7257 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, May 8, 2020 (2 updates tracked since 2020).

About Jared Joshua Johnson NPPES

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

JARED JOSHUA JOHNSON (NPI 1902428238) is an individual oral and maxillofacial surgery provider in Downey, California, licensed in California (105919) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2020).

NPPES Registry Identity

NPI1902428238
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJARED JOSHUA JOHNSON
Location Address10601 PARAMOUNT BLVDDowney, CA 90241-3303
Mailing Address2254 N 4th AveUpland, CA 91784-8400 · (909) 568-8777
Phone(562) 923-7257
Sole ProprietorNo
Medical School CMSUniv Of Calif, Los Angeles School Of DentistryGraduated 2020
Enumeration DateMay 8, 2020
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1902428238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 105919
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10601 PARAMOUNT BLVD, Downey, CA 90241
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 W Carson StTorrance, CA 90502-2059 · Phone (424) 306-4040

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Joshua Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517447410
PECOS Enrollment IDI20260218003783
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 Jared Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liu Makan Downey Dental Corporation
Same address
Oral and Maxillofacial Surgery
10601 PARAMOUNT BLVD
Downey, CA 90241
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1891546560 (562) 459-3311

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. ALLEN CHU DDS
Dentist (Oral and Maxillofacial Surgery)
10601 PARAMOUNT BLVD
DOWNEY, CA 90241
Los Angeles County (562) 923-7257
LIU MAKAN DOWNEY DENTAL CORPORATION
Dentist (Oral and Maxillofacial Surgery)
10601 PARAMOUNT BLVD
DOWNEY, CA 90241
Los Angeles County (562) 459-3311

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 Jared Johnson's NPI number?

The NPI number for Jared Johnson is 1902428238. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Jared Johnson located?

Jared Johnson practices at 10601 Paramount Blvd, Downey, CA 90241. The listed phone number is (562) 923-7257.

What is Jared Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jared Johnson enrolled in Medicare?

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

Which organization bills Medicare for Jared Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Johnson reassigns Medicare benefits to Liu Makan Downey Dental Corporation (Downey, 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 Jared Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jared Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Johnson was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.