OrganizationActive
Jeffrey M. Johnsrud, a Medical Corporation
NPI 1215238522 · Specialist · Orange, CA
Jeffrey M. Johnsrud, a Medical Corporation is a Specialist organization in Orange, CA (NPI 1215238522).
Provider details
- NPI number
- 1215238522
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Patricia Fuentes, Credentialing(714) 619-5450
- License
- G51096 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1140 W La Veta Ave
Suite 760
Orange, CA 92868-4223
Phone: (714) 541-4442
Fax: (714) 835-9550
Street-level locationGet directions
Mailing address
1140 W La Veta Ave
Orange, CA 92868-4223
Registry dates
- Enumerated
- 2010-11-03
- Last updated
- 2011-03-31
Frequently asked questions
- What is Jeffrey M. Johnsrud, a Medical Corporation's NPI number?
- Jeffrey M. Johnsrud, a Medical Corporation's National Provider Identifier (NPI) is 1215238522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey M. Johnsrud, a Medical Corporation?
- Jeffrey M. Johnsrud, a Medical Corporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jeffrey M. Johnsrud, a Medical Corporation located?
- Jeffrey M. Johnsrud, a Medical Corporation's practice location on file with NPPES is 1140 W La Veta Ave, Orange, CA 92868-4223.
- What is Jeffrey M. Johnsrud, a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey M. Johnsrud, a Medical Corporation is (714) 541-4442.
- Who is the authorized official for Jeffrey M. Johnsrud, a Medical Corporation?
- The authorized official listed on Jeffrey M. Johnsrud, a Medical Corporation's NPPES record is Patricia Fuentes, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey M. Johnsrud, a Medical Corporation's NPI active?
- Yes — Jeffrey M. Johnsrud, a Medical Corporation's NPI (1215238522) is active in the NPPES registry as of the last update on 2011-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.